ANTHONY JOSEPH ROSE Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****02

License Status

NOT RENEWED

Business

First Name

ANTHONY

Middle

JOSEPH

Last Name

ROSE

Business Name

ANTHONY JOSEPH ROSE

Original Issue Date

09/13/2006

Effective Date

12/23/2009

Expiration Date

03/01/2012

City

ROBINSON

State

Zip

62454

County

CRAWFORD

Ever Disciplined

LastModifiedDate

04/16/2012