STACY A ROSE Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****82

License Status

ACTIVE

Business

First Name

STACY

Middle

Last Name

ROSE

Business Name

STACY A ROSE

Original Issue Date

10/20/2010

Effective Date

01/15/2026

Expiration Date

03/01/2028

City

SCHAUMBURG

State

Zip

60193

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/15/2026