ERIC D GRASSMAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036079663

License Status

NOT RENEWED

Business

First Name

ERIC D

Last Name

GRASSMAN

Suffix

Business Name

ERIC D GRASSMAN MD

Original Issue Date

01/09/1990

Effective Date

01/09/1990

Expiration Date

07/31/2005

City

NAPERVILLE

State

Zip

60540

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/09/2006