AMANDA ROSS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****46

License Status

ACTIVE

Business

Title

First Name

AMANDA

Last Name

ROSS

Business Name

AMANDA ROSS MD

Original Issue Date

07/17/2020

Effective Date

07/18/2023

Expiration Date

07/31/2026

City

DEKALB

State

Zip

60115

County

DEKALB

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/18/2023