ERIC S GRIMM DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036081068

License Status

NOT RENEWED

Business

First Name

ERIC S

Last Name

GRIMM

Suffix

Business Name

ERIC S GRIMM DO

Original Issue Date

07/19/1990

Effective Date

07/19/1990

Expiration Date

07/31/1993

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

10/02/2013