DAVID JAMES ROSS DO 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

Title

First Name

DAVID

Middle

JAMES

Last Name

ROSS

Business Name

DAVID JAMES ROSS DO

Original Issue Date

08/22/2012

Effective Date

08/22/2012

Expiration Date

07/31/2014

City

PEORIA

State

Zip

61604

County

PEORIA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014