JASON JOSEPH GRUSS MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125046460

License Status

CANCELLED

Business

First Name

JASON

Middle

JOSEPH

Last Name

GRUSS

Suffix

Business Name

JASON JOSEPH GRUSS MD

Original Issue Date

07/01/2003

Effective Date

07/01/2003

Expiration Date

06/30/2007

City

PARK RIDGE

State

Zip

60068

Ever Disciplined

LastModifiedDate

09/22/2006