MARIO M GROSS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036079134

License Status

NOT RENEWED

Business

First Name

MARIO M

Last Name

GROSS

Suffix

Business Name

MARIO M GROSS MD

Original Issue Date

07/05/1989

Effective Date

07/05/1989

Expiration Date

07/31/1999

City

CANTON

State

Zip

61520

County

FULTON

Ever Disciplined

LastModifiedDate

11/05/2015