MARIE B ROSE Physician Assistant License verification

Business Entity

INACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000421

License Status

INACTIVE

Business

First Name

MARIE B

Last Name

ROSE

Business Name

MARIE B ROSE

Original Issue Date

10/06/1990

Effective Date

06/16/2010

Expiration Date

03/01/2012

City

NORTHBROOK

State

Zip

60062

County

COOK

Ever Disciplined

LastModifiedDate

03/05/2012