DIANNE F ROSS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****06

License Status

NOT RENEWED

Business

First Name

DIANNE F

Last Name

ROSS

Suffix

Business Name

DIANNE F ROSS MD

Original Issue Date

07/22/1986

Effective Date

07/22/1986

Expiration Date

07/31/2008

City

HOMER GLEN

State

Zip

60491

County

WILL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008