ROSS PATRICK VIMR MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125061998

License Status

CANCELLED

Business

Title

First Name

ROSS

Middle

PATRICK

Last Name

VIMR

Business Name

ROSS PATRICK VIMR MD

Original Issue Date

06/22/2013

Effective Date

06/22/2013

Expiration Date

06/21/2015

City

CLACKAMAS

State

Zip

97015

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

03/24/2014