W JOHN ROSE MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130000609

License Status

EXPIRED

Business

First Name

Middle

JOHN

Last Name

ROSE

Suffix

Business Name

W JOHN ROSE MD

Original Issue Date

05/03/2004

Effective Date

05/03/2004

Expiration Date

05/30/2004

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

09/25/2006