CARRIE KATHERINE GROUSE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036137043

License Status

NOT RENEWED

Business

Title

First Name

CARRIE

Middle

KATHERINE

Last Name

GROUSE

Business Name

CARRIE KATHERINE GROUSE MD

Original Issue Date

01/08/2015

Effective Date

05/18/2017

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021