ANTHONY JOSEPH ROSE - Physician Assistant License in Illinois | # 085002770

ANTHONY JOSEPH ROSE

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002770

License Status

NOT RENEWED

Business

N

First Name

ANTHONY

Middle

JOSEPH

Last Name

ROSE

Business Name

ANTHONY JOSEPH ROSE

Original Issue Date

08/09/2006

Effective Date

12/23/2009

Expiration Date

03/01/2012

State

IL

Ever Disciplined

N

LastModifiedDate

04/11/2012