JAMES L AMBROSE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****37

License Status

NOT RENEWED

Business

First Name

JAMES L

Last Name

AMBROSE

Suffix

Business Name

JAMES L AMBROSE MD

Original Issue Date

03/11/1992

Effective Date

05/26/2020

Expiration Date

07/31/2023

City

SPRINGFIELD

State

Zip

62781

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023