NICHOLAS DONALD GROSS DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036169818

License Status

ACTIVE

Business

Title

First Name

NICHOLAS

Middle

DONALD

Last Name

GROSS

Business Name

NICHOLAS DONALD GROSS DO

Original Issue Date

04/11/2024

Effective Date

04/11/2024

Expiration Date

07/31/2026

City

FRANKFORT

State

Zip

60423

County

WILL

Ever Disciplined

LastModifiedDate

02/29/2024