NICHOLAS J GROSS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036046142

License Status

NOT RENEWED

Business

First Name

NICHOLAS

Middle

Last Name

GROSS

Suffix

Business Name

NICHOLAS J GROSS MD

Original Issue Date

08/17/1972

Effective Date

05/08/2014

Expiration Date

07/31/2017

City

FARMINGTON

State

Zip

06032

County

CONNECTICUT

Ever Disciplined

LastModifiedDate

11/01/2017