DAVID ROSEN Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****25

License Status

ACTIVE

Business

First Name

DAVID

Last Name

ROSEN

Business Name

DAVID ROSEN

Original Issue Date

04/01/1996

Effective Date

04/19/2023

Expiration Date

07/31/2026

City

GLENCOE

State

Zip

60022

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/19/2023