DIANNE F ROSS MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125017111

License Status

EXPIRED

Business

First Name

DIANNE F

Last Name

ROSS

Suffix

Business Name

DIANNE F ROSS MD

Original Issue Date

06/22/1984

Effective Date

06/22/1984

Expiration Date

06/22/1986

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006