MICHAEL WILLIAM VINCENT ROSS DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125064944

License Status

CANCELLED

Business

Title

First Name

MICHAEL

Middle

WILLIAM VINCENT

Last Name

ROSS

Business Name

MICHAEL WILLIAM VINCENT ROSS DO

Original Issue Date

06/30/2014

Effective Date

06/30/2014

Expiration Date

06/29/2017

City

BATAVIA

State

Zip

60510

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

06/04/2014