CARLA ANDREA GROSSOLI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036132748

License Status

NOT RENEWED

Business

Title

First Name

CARLA

Middle

ANDREA

Last Name

GROSSOLI

Business Name

CARLA ANDREA GROSSOLI MD

Original Issue Date

05/07/2013

Effective Date

04/18/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60601

County

COOK

Ever Disciplined

LastModifiedDate

11/01/2017