JOHN VINCENT GROTH MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125053520

License Status

EXPIRED

Business

First Name

JOHN

Middle

VINCENT

Last Name

GROTH

Suffix

Business Name

JOHN VINCENT GROTH MD

Original Issue Date

07/01/2007

Effective Date

07/01/2007

Expiration Date

06/30/2010

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Pathology

Ever Disciplined

LastModifiedDate

07/08/2010