PAUL B GROSSMAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036066830

License Status

NOT RENEWED

Business

Title

First Name

PAUL

Middle

Last Name

GROSSMAN

Business Name

PAUL B GROSSMAN MD

Original Issue Date

06/30/1983

Effective Date

06/10/2008

Expiration Date

07/31/2011

City

MORRISON

State

Zip

80465

County

JEFFERSON

Ever Disciplined

LastModifiedDate

12/16/2011