ROBERT M ROSE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****59

License Status

NOT RENEWED

Business

First Name

ROBERT M

Last Name

ROSE

Suffix

Business Name

ROBERT M ROSE MD

Original Issue Date

12/10/1992

Effective Date

12/10/1992

Expiration Date

07/31/2002

City

CHICAGO

State

Zip

60603

County

COOK

Controlled Substance Schedule

II III

Ever Disciplined

LastModifiedDate

10/09/2006