PAMELA G GROSS MD PHD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125015244

License Status

EXPIRED

Business

First Name

PAMELA

Middle

Last Name

GROSS

Suffix

MD PHD

Business Name

PAMELA G GROSS MD PHD

Original Issue Date

06/15/1983

Effective Date

06/15/1983

Expiration Date

07/01/1992

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006