THOMAS M ROSEN Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002318

License Status

ACTIVE

Business

First Name

THOMAS

Middle

Last Name

ROSEN

Business Name

THOMAS M ROSEN

Original Issue Date

09/08/2004

Effective Date

12/04/2025

Expiration Date

03/01/2028

City

PORT BARRINGTON

State

Zip

60010

County

MCHENRY

Ever Disciplined

LastModifiedDate

12/04/2025