JESUS A GROSO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036110371

License Status

NOT RENEWED

Business

First Name

JESUS

Middle

Last Name

GROSO

Suffix

Business Name

JESUS A GROSO MD

Original Issue Date

10/28/2003

Effective Date

10/28/2003

Expiration Date

07/31/2005

City

SKOKIE

State

Zip

60076

County

COOK

Ever Disciplined

LastModifiedDate

01/22/2010