KENNETH MICHAEL ROSE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036088158

License Status

NOT RENEWED

Business

First Name

KENNETH MICHAEL

Last Name

ROSE

Suffix

Business Name

KENNETH MICHAEL ROSE MD

Original Issue Date

03/23/1994

Effective Date

03/23/1994

Expiration Date

07/31/1999

City

STATEN ISALND

State

Zip

10301

County

NEW YORK

Ever Disciplined

LastModifiedDate

09/24/2014