THOMAS M GROSCH MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125019147

License Status

EXPIRED

Business

First Name

THOMAS M

Last Name

GROSCH

Suffix

Business Name

THOMAS M GROSCH MD

Original Issue Date

05/02/1986

Effective Date

05/02/1986

Expiration Date

07/01/1989

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Otolaryngology

Ever Disciplined

LastModifiedDate

09/22/2006