FRED E ROSS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****14

License Status

NOT RENEWED

Business

First Name

FRED E

Last Name

ROSS

Suffix

Business Name

FRED E ROSS MD

Original Issue Date

11/18/1988

Effective Date

08/04/2008

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60643

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011