MARC B GRODSKY MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125051213

License Status

EXPIRED

Business

First Name

MARC

Middle

Last Name

GRODSKY

Suffix

Business Name

MARC B GRODSKY MD

Original Issue Date

06/22/2006

Effective Date

06/22/2006

Expiration Date

06/21/2007

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

07/03/2007