CHERYL R W ROSE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****15

License Status

NOT RENEWED

Business

First Name

CHERYL R W

Last Name

ROSE

Suffix

Business Name

CHERYL R W ROSE MD

Original Issue Date

09/25/1981

Effective Date

09/25/1981

Expiration Date

07/31/1984

City

CHICAGO

State

Zip

60651

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006