THOMAS M ROSEN Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****35

License Status

ACTIVE

Business

First Name

THOMAS

Middle

Last Name

ROSEN

Business Name

THOMAS M ROSEN

Original Issue Date

01/20/2005

Effective Date

12/04/2025

Expiration Date

03/01/2028

City

ELK GROVE VILLAGE

State

Zip

60007

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/04/2025