CAROLYN MICHELLE ROSS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036140308

License Status

NOT RENEWED

Business

Title

First Name

CAROLYN

Middle

MICHELLE

Last Name

ROSS

Business Name

CAROLYN MICHELLE ROSS MD

Original Issue Date

04/08/2016

Effective Date

04/12/2017

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021