MARVIN I GROTE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036047566

License Status

NOT RENEWED

Business

First Name

MARVIN I

Last Name

GROTE

Suffix

Business Name

MARVIN I GROTE MD

Original Issue Date

07/20/1973

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

QUINCY

State

Zip

62301

County

ADAMS

Ever Disciplined

LastModifiedDate

11/06/2008