DAVID G GROSS Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125026735

License Status

EXPIRED

Business

First Name

DAVID

Middle

Last Name

GROSS

Business Name

DAVID G GROSS

Original Issue Date

05/16/1991

Effective Date

05/16/1991

Expiration Date

06/20/1995

City

CHICAGO

State

Zip

60615

County

COOK

Specialty/Qualifier

Family Practice & OMT

Ever Disciplined

LastModifiedDate

09/22/2006