PHILIP DAVID ROSEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****25

License Status

NOT RENEWED

Business

First Name

PHILIP DAVID

Last Name

ROSEN

Suffix

Business Name

PHILIP DAVID ROSEN MD

Original Issue Date

10/19/1984

Effective Date

10/19/1984

Expiration Date

07/31/1993

City

CHICAGO

State

Zip

60645

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020