DAVID MITCHELL GRODBERG MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036155895

License Status

ACTIVE

Business

Title

First Name

DAVID

Middle

MITCHELL

Last Name

GRODBERG

Business Name

DAVID MITCHELL GRODBERG MD

Original Issue Date

03/05/2021

Effective Date

06/21/2023

Expiration Date

07/31/2026

City

NEW HAVEN

State

Zip

06511

Ever Disciplined

LastModifiedDate

06/21/2023