KATE LAUREN GROSSMAN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125052956

License Status

CANCELLED

Business

Title

First Name

KATE

Middle

LAUREN

Last Name

GROSSMAN

Business Name

KATE LAUREN GROSSMAN MD

Original Issue Date

06/24/2010

Effective Date

06/24/2010

Expiration Date

06/23/2011

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Internal Medicine/Pediatrics

Ever Disciplined

LastModifiedDate

02/03/2010