DEBORAH A ROSS Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125027199

License Status

EXPIRED

Business

First Name

DEBORAH A

Last Name

ROSS

Suffix

Business Name

DEBORAH A ROSS

Original Issue Date

06/18/1991

Effective Date

06/18/1991

Expiration Date

06/30/1994

City

ROCKFORD

State

Zip

61107

County

BOONE

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006