RACHAEL LEE ROSS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036142038

License Status

NOT RENEWED

Business

Title

First Name

RACHAEL

Middle

LEE

Last Name

ROSS

Business Name

RACHAEL LEE ROSS MD

Original Issue Date

11/30/2016

Effective Date

11/30/2016

Expiration Date

07/31/2017

City

CHESTERTON

State

Zip

46304

County

INDIANA

Ever Disciplined

LastModifiedDate

11/01/2017