JOHN WAGNER GROVER MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036059010

License Status

INACTIVE

Business

First Name

JOHN WAGNER

Last Name

GROVER

Suffix

Business Name

JOHN WAGNER GROVER MD

Original Issue Date

07/20/1979

Effective Date

07/20/1979

Expiration Date

07/31/1999

City

ARLINGTON HEIGHTS

State

Zip

60004

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006