GENA MARIE GROSPE DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125069990

License Status

CANCELLED

Business

Title

First Name

GENA

Middle

MARIE

Last Name

GROSPE

Business Name

GENA MARIE GROSPE DO

Original Issue Date

06/26/2017

Effective Date

06/26/2017

Expiration Date

06/25/2020

City

OAK LAWN

State

Zip

60453

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

03/14/2017