LAWRENCE D GROUSE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036063190

License Status

NOT RENEWED

Business

First Name

LAWRENCE D

Last Name

GROUSE

Suffix

Business Name

LAWRENCE D GROUSE MD

Original Issue Date

09/10/1981

Effective Date

09/10/1981

Expiration Date

07/31/1987

City

DOWNERS GROVE

State

Zip

60515

County

DUPAGE

Ever Disciplined

LastModifiedDate

09/20/2006