ERNEST COLLINS ROSE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****30

License Status

ACTIVE

Business

First Name

ERNEST

Middle

COLLINS

Last Name

ROSE

Suffix

Business Name

ERNEST COLLINS ROSE MD

Original Issue Date

01/01/1997

Effective Date

04/12/2023

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61612

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2023