MARK ALFRED ROSS MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125014334

License Status

EXPIRED

Business

Title

First Name

MARK

Middle

ALFRED

Last Name

ROSS

Business Name

MARK ALFRED ROSS MD

Original Issue Date

06/17/1982

Effective Date

06/17/1982

Expiration Date

06/23/1984

City

COLORADO SPRINGS

State

Zip

80906

Ever Disciplined

LastModifiedDate

09/09/2019