DAVID BRUCE ROSS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036107342

License Status

NOT RENEWED

Business

First Name

DAVID

Middle

BRUCE

Last Name

ROSS

Suffix

Business Name

DAVID BRUCE ROSS MD

Original Issue Date

07/03/2002

Effective Date

07/03/2002

Expiration Date

07/31/2005

City

WEST BOUTIFUL

State

Zip

84087

County

UTAH

Ever Disciplined

LastModifiedDate

10/09/2006