MARY E GROLL Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036109224

License Status

ACTIVE

Business

First Name

MARY

Middle

Last Name

GROLL

Business Name

MARY E GROLL

Original Issue Date

05/13/2003

Effective Date

07/28/2023

Expiration Date

07/31/2026

City

OAK PARK

State

Zip

60302

County

COOK

Ever Disciplined

LastModifiedDate

07/28/2023