MICHAEL P GROSS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036046555

License Status

NOT RENEWED

Business

First Name

MICHAEL P

Last Name

GROSS

Suffix

Business Name

MICHAEL P GROSS MD

Original Issue Date

10/19/1972

Effective Date

10/19/1972

City

SCOTT AFB

State

Zip

62225

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

09/20/2006