FEODOR JUAN GLOSS DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036107480

License Status

ACTIVE

Business

First Name

FEODOR

Middle

JUAN

Last Name

GLOSS

Suffix

Business Name

FEODOR JUAN GLOSS DO

Original Issue Date

07/16/2002

Effective Date

06/19/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60660

County

COOK

Ever Disciplined

LastModifiedDate

06/19/2023