License holder summary

STACEY R ROSE is a Graduate Medical Trainee licensed to practice in Pennsylvania. The address on file for STACEY R ROSE is New York NY 10032. This medical practitioner license is not current. The license was granted 05/21/2004 and expired on 06/30/2008.

Department of State

Board of Medicine

STACEY R ROSE
Graduate Medical Trainee
License number
MT184579
Date granted
05/21/2004
Date expires
06/30/2008
Class
Graduate Medical Trainee
Status
Inactive
Address
New York NY 10032
medicinepa.com
ID 37562992
LAST UPDATED 2024-01-21 12:03:21 UTC

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