LANCE DEROSS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****19

License Status

ACTIVE

Business

Title

First Name

LANCE

Last Name

DEROSS

Business Name

LANCE DEROSS MD

Original Issue Date

06/03/2023

Effective Date

06/03/2023

Expiration Date

07/31/2026

City

COTTONWOOD

State

Zip

96022

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/03/2023