ERIC CHARLES ROST MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****64

License Status

NOT RENEWED

Business

First Name

ERIC

Middle

CHARLES

Last Name

ROST

Suffix

Business Name

ERIC CHARLES ROST MD

Original Issue Date

02/21/2014

Effective Date

06/30/2014

Expiration Date

07/31/2017

City

FREEPORT

State

Zip

61032

County

STEPHENSON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017