ELANA M ROSE Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****24

License Status

NOT RENEWED

Business

First Name

ELANA

Middle

Last Name

ROSE

Business Name

ELANA M ROSE

Original Issue Date

12/13/2001

Effective Date

01/25/2012

Expiration Date

03/01/2014

State

County

WISCONSIN

Ever Disciplined

LastModifiedDate

03/04/2014