ANDREW H GROSS Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125024077

License Status

EXPIRED

Business

First Name

ANDREW

Middle

Last Name

GROSS

Business Name

ANDREW H GROSS

Original Issue Date

06/17/1989

Effective Date

06/17/1989

Expiration Date

06/30/1990

City

NORTH CHICAGO

State

Zip

60064

County

LAKE

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

09/22/2006