Merwin Beryl Rosen Dds
InactiveIllinois license 019011537
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 019011537
- Status
- Inactive
- First issued
- August 7, 1959
- Expired
- September 30, 2004
- License holder
- Merwin Beryl Rosen Dds
- Entity type
- Individual
Classifications
- Licensed Dentist (Dental) Dental
More from the license record
- Current term began
- 08/07/1959
- Ever disciplined
- Yes
- Discipline case
- 1991007047
- Discipline action
- Suspension
- Discipline reason
- Utilized anesthesia technique without permit.
- Discipline dates
- 05/07/1992 to 05/20/1992
Other Illinois licenses under this name
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Contact
Waukegan, IL 60085
Lake County