KATHLEEN A GROSS MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125021902

License Status

EXPIRED

Business

First Name

KATHLEEN A

Last Name

GROSS

Suffix

Business Name

KATHLEEN A GROSS MD

Original Issue Date

05/04/1988

Effective Date

05/04/1988

Expiration Date

06/24/1991

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

09/22/2006