ROSE ELAINE PAUL MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036103175

License Status

INACTIVE

Business

First Name

ROSE

Middle

ELAINE

Last Name

PAUL

Suffix

Business Name

ROSE ELAINE PAUL MD

Original Issue Date

07/31/2000

Effective Date

07/31/2000

Expiration Date

07/31/2005

City

JACKSON

State

Zip

83002

Ever Disciplined

LastModifiedDate

07/27/2009