STEWART DAVID ROSS II MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****39

License Status

NOT RENEWED

Business

Title

First Name

STEWART

Middle

DAVID

Last Name

ROSS

Suffix

Business Name

STEWART DAVID ROSS II MD

Original Issue Date

01/01/1997

Effective Date

05/26/2014

Expiration Date

07/31/2017

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017