CARL HARVEY ROSEN MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****20

License Status

INACTIVE

Business

First Name

CARL HARVEY

Last Name

ROSEN

Suffix

Business Name

CARL HARVEY ROSEN MD

Original Issue Date

01/01/1997

Expiration Date

09/01/1982

City

FREEPORT

State

Zip

61032

County

STEPHENSON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006