SAMUEL L GROSSMAN DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036073249

License Status

NOT RENEWED

Business

First Name

SAMUEL L

Last Name

GROSSMAN

Suffix

Business Name

SAMUEL L GROSSMAN DO

Original Issue Date

07/24/1986

Effective Date

07/24/1986

Expiration Date

07/31/1987

City

DAVENPORT

State

Zip

52801

County

IOWA

Ever Disciplined

LastModifiedDate

09/20/2006