FRED E ROSS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036077923

License Status

NOT RENEWED

Business

First Name

FRED E

Last Name

ROSS

Suffix

Business Name

FRED E ROSS MD

Original Issue Date

09/27/1988

Effective Date

08/04/2008

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60643

County

COOK

Ever Disciplined

LastModifiedDate

11/14/2011

Case Number

2001000059

Action

Probation

Discipline Start Date

11/13/2002

Discipline Reason

Unpaid state income tax delinquency.