DAVID JONATHAN CROSS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****88

License Status

NOT RENEWED

Business

First Name

DAVID JONATHAN

Last Name

CROSS

Suffix

Business Name

DAVID JONATHAN CROSS MD

Original Issue Date

12/09/1996

Effective Date

12/09/1996

Expiration Date

07/31/2002

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006