LYDIA H GROTTI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036075009

License Status

NOT RENEWED

Business

First Name

LYDIA H

Last Name

GROTTI

Suffix

Business Name

LYDIA H GROTTI MD

Original Issue Date

05/15/1987

Effective Date

05/15/1987

Expiration Date

07/31/1990

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

02/03/2007

Case Number

2004001114

Action

Refuse To Renew

Discipline Start Date

06/03/2004

Discipline Reason

Disciplined in Texas.