JESUS A GROSO MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125042173

License Status

EXPIRED

Business

First Name

JESUS

Middle

Last Name

GROSO

Suffix

Business Name

JESUS A GROSO MD

Original Issue Date

09/18/2000

Effective Date

09/18/2000

Expiration Date

09/17/2003

City

CHICAGO

State

Zip

60612

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006