STANFORD ROSEN Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016003310

License Status

NOT RENEWED

Business

First Name

STANFORD

Last Name

ROSEN

Business Name

STANFORD ROSEN

Original Issue Date

07/31/1981

Effective Date

07/31/1981

Expiration Date

07/01/1982

City

CHICAGO

State

Zip

60630

County

COOK

Ever Disciplined

LastModifiedDate

09/25/2006