JAMES STEPHEN ROSEN Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****75

License Status

NOT RENEWED

Business

First Name

JAMES STEPHEN

Last Name

ROSEN

Business Name

JAMES STEPHEN ROSEN

Original Issue Date

09/18/1984

Effective Date

09/18/1984

Expiration Date

01/31/1991

City

CHICAGO

State

Zip

60610

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/25/2006