MICHELLE P ROSE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****77

License Status

NOT RENEWED

Business

First Name

MICHELLE

Middle

Last Name

ROSE

Suffix

Business Name

MICHELLE P ROSE MD

Original Issue Date

10/28/1993

Effective Date

04/16/2014

Expiration Date

07/31/2017

City

SKOKIE

State

Zip

60076

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020