DIANNE F ROSS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036073089

License Status

NOT RENEWED

Business

First Name

DIANNE F

Last Name

ROSS

Suffix

Business Name

DIANNE F ROSS MD

Original Issue Date

07/03/1986

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

HOMER GLEN

State

Zip

60491

County

WILL

Ever Disciplined

LastModifiedDate

11/06/2008