JACQUELINE C ROSS MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125054337

License Status

EXPIRED

Business

Title

First Name

JACQUELINE

Middle

Last Name

ROSS

Business Name

JACQUELINE C ROSS MD

Original Issue Date

06/16/2008

Effective Date

06/16/2008

Expiration Date

06/15/2011

City

ELMHURST

State

Zip

60126

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

07/19/2011