SHANA ELISHA NELSON ROSS DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125064447

License Status

CANCELLED

Business

First Name

SHANA

Middle

ELISHA NELSON

Last Name

ROSS

Suffix

Business Name

SHANA ELISHA NELSON ROSS DO

Original Issue Date

07/01/2014

Effective Date

07/01/2014

Expiration Date

06/30/2017

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

05/09/2014