NILES ROBERT ROSEN MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036056730

License Status

INACTIVE

Business

First Name

NILES ROBERT

Last Name

ROSEN

Suffix

Business Name

NILES ROBERT ROSEN MD

Original Issue Date

05/19/1978

Effective Date

05/19/1978

Expiration Date

07/31/1990

City

CARMEL

State

Zip

46032

County

INDIANA

Ever Disciplined

LastModifiedDate

09/20/2006