ERIC JOSEPH GROSSMAN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125049180

License Status

CANCELLED

Business

First Name

ERIC

Middle

JOSEPH

Last Name

GROSSMAN

Suffix

Business Name

ERIC JOSEPH GROSSMAN MD

Original Issue Date

06/24/2005

Effective Date

06/24/2005

Expiration Date

06/23/2008

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

09/22/2006