BRENDON SCOTT ROSS DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125064849

License Status

EXPIRED

Business

Title

First Name

BRENDON

Middle

SCOTT

Last Name

ROSS

Business Name

BRENDON SCOTT ROSS DO

Original Issue Date

06/23/2017

Effective Date

06/23/2017

Expiration Date

06/22/2018

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Physical Medicine and Rehabilitation

Ever Disciplined

LastModifiedDate

10/25/2018