JODI L GROSSMAN Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036112238

License Status

NOT RENEWED

Business

First Name

JODI

Middle

Last Name

GROSSMAN

Business Name

JODI L GROSSMAN

Original Issue Date

08/31/2004

Effective Date

04/17/2008

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

11/14/2011