NICHOLAS ROSE Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

VISITING RESIDENT

License Number

188000342

License Status

EXPIRED

Business

First Name

NICHOLAS

Last Name

ROSE

Business Name

NICHOLAS ROSE

Original Issue Date

06/02/2008

Effective Date

06/02/2008

Expiration Date

07/01/2008

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Trauma Rotation

Ever Disciplined

LastModifiedDate

07/31/2008