SHANA ELISHA NELSON ROSS DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****36

License Status

ACTIVE

Business

First Name

SHANA

Middle

ELISHA NELSON

Last Name

ROSS

Suffix

Business Name

SHANA ELISHA NELSON ROSS DO

Original Issue Date

03/07/2017

Effective Date

05/17/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/17/2023