BRIAN S GROSSMAN Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036089791

License Status

NOT RENEWED

Business

First Name

BRIAN S

Last Name

GROSSMAN

Business Name

BRIAN S GROSSMAN

Original Issue Date

10/12/1994

Effective Date

10/12/1994

Expiration Date

07/31/1996

City

SKOKIE

State

Zip

60076

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006