JODI L GROSSMAN Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125042545

License Status

EXPIRED

Business

First Name

JODI

Middle

Last Name

GROSSMAN

Business Name

JODI L GROSSMAN

Original Issue Date

07/01/2001

Effective Date

07/01/2001

Expiration Date

06/30/2006

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

09/22/2006