DAVID ROSS SISCO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036136438

License Status

NOT RENEWED

Business

Title

First Name

DAVID

Middle

ROSS

Last Name

SISCO

Business Name

DAVID ROSS SISCO MD

Original Issue Date

09/08/2014

Effective Date

09/08/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60654

County

COOK

Ever Disciplined

LastModifiedDate

11/01/2017