MARK A ROS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****26

License Status

NOT RENEWED

Business

First Name

MARK

Middle

Last Name

ROS

Suffix

Business Name

MARK A ROS MD

Original Issue Date

09/24/1991

Effective Date

05/03/2017

Expiration Date

09/30/2020

City

LOMBARD

State

Zip

60148

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021