MICHAEL PAUL GROSSMAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036041084

License Status

NOT RENEWED

Business

First Name

MICHAEL PAUL

Last Name

GROSSMAN

Suffix

Business Name

MICHAEL PAUL GROSSMAN MD

Original Issue Date

07/01/1967

Effective Date

06/26/2017

Expiration Date

09/30/2020

City

HIGHLAND PARK

State

Zip

60035

County

LAKE

Ever Disciplined

LastModifiedDate

01/14/2021