Name
Carolyn A Ross
Year of birth
1962
Source
USA - Health and Human Services List of Excluded Individuals and Entities
Aliases
Privacy Request
Additional Information
General: IND- LIC HC SERV PRO
Specialty: PHYSICIAN ASSISTANT
Medical license number: 1447315759
Address: 4862 CLIFTON PARKWAY
City: HAMBURG
State: NY
Zip code: 14075
Exclusion type: License revocation, suspension, or surrender. Minimum Period: Period imposed by the state licensing authority. (Social Security Act: 1128(b)(4), 42 USC §: 1320a-7(b)(4))
Exclusion date: 2013-10-20