TIMOTHY N ROSS Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000769

License Status

ACTIVE

Business

First Name

TIMOTHY

Middle

Last Name

ROSS

Business Name

TIMOTHY N ROSS

Original Issue Date

02/07/1996

Effective Date

01/20/2024

Expiration Date

03/01/2026

City

RACINE

State

Zip

53406

Ever Disciplined

LastModifiedDate

12/03/2025