DIANNE F ROSS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****07

License Status

NOT RENEWED

Business

First Name

DIANNE F

Last Name

ROSS

Suffix

Business Name

DIANNE F ROSS MD

Original Issue Date

07/11/1991

Effective Date

07/11/1991

Expiration Date

07/31/1993

City

MORRIS

State

Zip

60450

County

GRUNDY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006