ROSS DAVID PERCELL DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036160878

License Status

ACTIVE

Business

Title

First Name

ROSS

Middle

DAVID

Last Name

PERCELL

Business Name

ROSS DAVID PERCELL DO

Original Issue Date

06/14/2022

Effective Date

04/07/2023

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61615

County

PEORIA

Ever Disciplined

LastModifiedDate

04/07/2023