MITCHELL PAUL ROSS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****71

License Status

NOT RENEWED

Business

First Name

MITCHELL

Middle

PAUL

Last Name

ROSS

Suffix

Business Name

MITCHELL PAUL ROSS MD

Original Issue Date

07/26/2006

Effective Date

09/05/2014

Expiration Date

07/31/2017

City

PEORIA

State

Zip

61637

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017