BRIAN S GROSSMAN Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125024691

License Status

EXPIRED

Business

First Name

BRIAN S

Last Name

GROSSMAN

Business Name

BRIAN S GROSSMAN

Original Issue Date

05/03/1990

Effective Date

05/03/1990

Expiration Date

06/19/1995

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Orthopaedic Surgery

Ever Disciplined

LastModifiedDate

09/22/2006