NATALIE JANE ROSS Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****65

License Status

ACTIVE

Business

First Name

NATALIE

Middle

JANE

Last Name

ROSS

Business Name

NATALIE JANE ROSS

Original Issue Date

06/24/2025

Effective Date

01/29/2026

Expiration Date

03/01/2028

City

MARYVILLE

State

Zip

62062

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/29/2026