CHARLES B ROSS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****21

License Status

NOT RENEWED

Business

First Name

CHARLES B

Last Name

ROSS

Suffix

Business Name

CHARLES B ROSS MD

Original Issue Date

08/22/1997

Effective Date

08/22/1997

Expiration Date

07/31/2002

City

METROPOLIS

State

Zip

62960

County

MASSAC

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006