CRAIG ELI GROSSMAN Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125052219

License Status

EXPIRED

Business

First Name

CRAIG

Middle

ELI

Last Name

GROSSMAN

Business Name

CRAIG ELI GROSSMAN

Original Issue Date

07/01/2007

Effective Date

07/01/2007

Expiration Date

06/30/2010

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Radiation Oncology

Ever Disciplined

LastModifiedDate

07/08/2010