STEPHEN M ROSEN Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047006487

License Status

CANCELLED

Business

First Name

STEPHEN M

Last Name

ROSEN

Business Name

STEPHEN M ROSEN

Original Issue Date

04/26/1974

Expiration Date

01/01/1997

City

LIBERTYVILLE

State

Zip

60048

County

LAKE

Ever Disciplined

LastModifiedDate

09/01/2005