THEODORE ROSS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036075238

License Status

ACTIVE

Business

First Name

THEODORE

Last Name

ROSS

Suffix

Business Name

THEODORE ROSS MD

Original Issue Date

06/27/1987

Effective Date

07/20/2023

Expiration Date

07/31/2026

City

CENTREVILLE

State

Zip

62207

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

07/20/2023