ROBERT LARRY ROSEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****35

License Status

NOT RENEWED

Business

First Name

ROBERT LARRY

Last Name

ROSEN

Suffix

Business Name

ROBERT LARRY ROSEN MD

Original Issue Date

01/01/1997

Effective Date

05/08/2014

Expiration Date

07/31/2017

City

EVANSTON

State

Zip

60203

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017