RACHAEL LEE ROSS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****15

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

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017