NICHOLAS DONALD GROSS DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125069282

License Status

EXPIRED

Business

Title

First Name

NICHOLAS

Middle

DONALD

Last Name

GROSS

Business Name

NICHOLAS DONALD GROSS DO

Original Issue Date

07/01/2019

Effective Date

07/01/2019

Expiration Date

06/30/2020

City

FRANKFORT

State

Zip

60423

County

WILL

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

11/19/2020