THEODORE ROSS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****12

License Status

ACTIVE

Business

First Name

THEODORE

Last Name

ROSS

Suffix

Business Name

THEODORE ROSS MD

Original Issue Date

07/09/1987

Effective Date

07/20/2023

Expiration Date

07/31/2026

City

CENTREVILLE

State

Zip

62207

County

SAINT CLAIR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/20/2023