RICHARD E GROSS DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125020285

License Status

EXPIRED

Business

First Name

RICHARD E

Last Name

GROSS

Suffix

Business Name

RICHARD E GROSS DO

Original Issue Date

09/04/1986

Effective Date

09/04/1986

Expiration Date

07/01/1989

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006