BRENDA E ROSS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****13

License Status

NOT RENEWED

Business

First Name

BRENDA E

Last Name

ROSS

Suffix

Business Name

BRENDA E ROSS MD

Original Issue Date

04/18/1988

Effective Date

04/18/1988

Expiration Date

07/31/2005

City

WILMETTE

State

Zip

60091

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006