BEEBE ROSE Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****07

License Status

ACTIVE

Business

First Name

BEEBE

Last Name

ROSE

Business Name

BEEBE ROSE

Original Issue Date

01/13/2023

Effective Date

01/04/2024

Expiration Date

03/01/2026

City

NEW YORK

State

Zip

10022

County

NEW YORK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/03/2025