STEWART DAVID ROSS II MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036041875

License Status

NOT RENEWED

Business

Title

First Name

STEWART

Middle

DAVID

Last Name

ROSS

Suffix

Business Name

STEWART DAVID ROSS II MD

Original Issue Date

07/18/1968

Effective Date

05/26/2014

Expiration Date

07/31/2017

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

11/01/2017