JEFFREY PAUL GROSS MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125066687

License Status

EXPIRED

Business

Title

First Name

JEFFREY

Middle

PAUL

Last Name

GROSS

Business Name

JEFFREY PAUL GROSS MD

Original Issue Date

06/24/2018

Effective Date

06/24/2018

Expiration Date

06/23/2020

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Radiation Oncology

Ever Disciplined

LastModifiedDate

11/19/2020