ROSS ALAN WORTHINGTON Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036106613

License Status

ACTIVE

Business

First Name

ROSS

Middle

ALAN

Last Name

WORTHINGTON

Business Name

ROSS ALAN WORTHINGTON

Original Issue Date

03/27/2002

Effective Date

07/10/2023

Expiration Date

07/31/2026

City

SHEBOYGAN

State

Zip

53083

County

WISCONSIN

Ever Disciplined

LastModifiedDate

06/28/2023