EDWARD PETER GROGG MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036041628

License Status

INACTIVE

Business

First Name

EDWARD PETER

Last Name

GROGG

Suffix

Business Name

EDWARD PETER GROGG MD

Original Issue Date

03/29/1968

Effective Date

03/29/1968

Expiration Date

07/31/2002

City

ENGLEWOOD

State

Zip

34224

County

FLORIDA

Ever Disciplined

LastModifiedDate

10/09/2006