MICHAEL ROSS Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085009671

License Status

NOT RENEWED

Business

First Name

MICHAEL

Last Name

ROSS

Business Name

MICHAEL ROSS

Original Issue Date

05/20/2023

Effective Date

05/20/2023

Expiration Date

03/01/2024

City

LOMBARD

State

Zip

60148

County

DUPAGE

Ever Disciplined

LastModifiedDate

02/05/2025