JENNIFER L ROSE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****92

License Status

ACTIVE

Business

Title

First Name

JENNIFER

Middle

Last Name

ROSE

Business Name

JENNIFER L ROSE MD

Original Issue Date

04/27/2012

Effective Date

06/28/2023

Expiration Date

07/31/2026

City

ROCKFORD

State

Zip

61114

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/28/2023