EDWARD PHILLIP ROSE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****09

License Status

NOT RENEWED

Business

First Name

EDWARD PHILLIP

Last Name

ROSE

Suffix

Business Name

EDWARD PHILLIP ROSE MD

Original Issue Date

01/01/1997

Effective Date

06/26/2017

Expiration Date

09/30/2020

City

BELLEVILLE

State

Zip

62226

County

SAINT CLAIR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021