DANIEL J ROSS MD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****73

License Status

NOT RENEWED

Business

First Name

DANIEL

Middle

Last Name

ROSS

Suffix

Business Name

DANIEL J ROSS MD

Original Issue Date

06/18/1999

Effective Date

06/18/1999

Expiration Date

09/30/2000

City

CHICAGO

State

Zip

60631

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005