ANTHONY JOSEPH ROSE Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002770

License Status

NOT RENEWED

Business

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

City

ROBINSON

State

Zip

62454

County

CRAWFORD

Ever Disciplined

LastModifiedDate

04/11/2012