JESSIE REYNOLDS GROOTHUIS MD - Medical Doctor License in Tennessee | # 036047565

JESSIE REYNOLDS GROOTHUIS MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036047565

License Status

NOT RENEWED

Business

N

First Name

JESSIE REYNOLDS

Last Name

GROOTHUIS

Suffix

MD

Business Name

JESSIE REYNOLDS GROOTHUIS MD

Original Issue Date

07/20/1973

Effective Date

07/20/1973

State

TN

Ever Disciplined

N

LastModifiedDate

09/20/2006