ROBERT S ROSEN 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

ROBERT S

Last Name

ROSEN

Suffix

Business Name

ROBERT S ROSEN MD

Original Issue Date

07/29/1996

Effective Date

07/29/1996

Expiration Date

07/31/2002

City

ALTON

State

Zip

62007

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006