TIMOTHY N ROSS Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****87

License Status

ACTIVE

Business

First Name

TIMOTHY

Middle

Last Name

ROSS

Business Name

TIMOTHY N ROSS

Original Issue Date

09/28/2001

Effective Date

07/08/2024

Expiration Date

03/01/2026

City

NORTH CHICAGO

State

Zip

60064

County

LAKE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/03/2025