ROSS DANIEL COOLIDGE DO - Medical Doctor License in Illinois | # 036149242

ROSS DANIEL COOLIDGE DO

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036149242

License Status

ACTIVE

Business

N

Title

DO

First Name

ROSS

Middle

DANIEL

Last Name

COOLIDGE

Business Name

ROSS DANIEL COOLIDGE DO

Original Issue Date

04/27/2019

Effective Date

04/07/2023

Expiration Date

07/31/2026

State

IL

Ever Disciplined

N

LastModifiedDate

04/07/2023