STEPHEN LEE ROSE Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036097265

License Status

NOT RENEWED

Business

First Name

STEPHEN LEE

Last Name

ROSE

Business Name

STEPHEN LEE ROSE

Original Issue Date

02/03/1998

Effective Date

02/03/1998

Expiration Date

07/31/1999

City

NEWBURGH

State

Zip

47630

County

INDIANA

Ever Disciplined

LastModifiedDate

09/20/2006