PHILIP S GROVE Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125035031

License Status

EXPIRED

Business

First Name

PHILIP

Middle

Last Name

GROVE

Business Name

PHILIP S GROVE

Original Issue Date

06/12/1996

Effective Date

06/12/1996

Expiration Date

06/23/1999

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Pathology

Ever Disciplined

LastModifiedDate

09/22/2006