CARLA ANDREA GROSSOLI MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125058734

License Status

EXPIRED

Business

Title

First Name

CARLA

Middle

ANDREA

Last Name

GROSSOLI

Business Name

CARLA ANDREA GROSSOLI MD

Original Issue Date

07/01/2010

Effective Date

07/01/2010

Expiration Date

06/30/2013

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

10/07/2013