MORTIMER DAVID GROSS MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036031169

License Status

INACTIVE

Business

First Name

MORTIMER DAVID

Last Name

GROSS

Suffix

Business Name

MORTIMER DAVID GROSS MD

Original Issue Date

03/04/1952

Effective Date

05/03/2011

Expiration Date

07/31/2014

City

HIGHLAND PARK

State

Zip

60035

County

LAKE

Ever Disciplined

LastModifiedDate

06/29/2014

Case Number

2008009746

Action

Fine

Discipline Start Date

12/04/2009

Discipline Reason

breached confidentiality of two patients.