ROSE L JUMAH MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****39

License Status

CANCELLED

Business

First Name

ROSE

Middle

Last Name

JUMAH

Suffix

Business Name

ROSE L JUMAH MD

Original Issue Date

06/14/2002

Effective Date

06/14/2002

Expiration Date

07/31/2005

City

EAST ST LOUIS

State

Zip

62201

County

SAINT CLAIR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006