SANDRA LYNN ROSE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****00

License Status

ACTIVE

Business

First Name

SANDRA

Middle

LYNN

Last Name

ROSE

Suffix

Business Name

SANDRA LYNN ROSE MD

Original Issue Date

02/27/2007

Effective Date

05/14/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60637

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/14/2023