ERIC JAMES GROEN DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125058354

License Status

EXPIRED

Business

Title

First Name

ERIC

Middle

JAMES

Last Name

GROEN

Business Name

ERIC JAMES GROEN DO

Original Issue Date

07/01/2010

Effective Date

07/01/2010

Expiration Date

06/30/2011

City

OLYMPIA FIELDS

State

Zip

60461

County

COOK

Specialty/Qualifier

Rotating Internship

Ever Disciplined

LastModifiedDate

07/19/2011