AMANDA J ROSS MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125063736

License Status

EXPIRED

Business

First Name

AMANDA

Middle

Last Name

ROSS

Suffix

Business Name

AMANDA J ROSS MD

Original Issue Date

06/25/2016

Effective Date

06/25/2016

Expiration Date

06/24/2019

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Specialty/Qualifier

Plastic Surgery

Ever Disciplined

LastModifiedDate

10/02/2019