TIMOTHY CARL GROME MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125038175

License Status

EXPIRED

Business

First Name

TIMOTHY

Middle

CARL

Last Name

GROME

Suffix

Business Name

TIMOTHY CARL GROME MD

Original Issue Date

06/15/1998

Effective Date

06/15/1998

Expiration Date

06/14/2001

City

CHICAGO

State

Zip

60608

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

09/22/2006