FAITH MARIE GROVE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125081708

License Status

ACTIVE

Business

Title

First Name

FAITH

Middle

MARIE

Last Name

GROVE

Business Name

FAITH MARIE GROVE MD

Original Issue Date

07/01/2023

Effective Date

07/01/2023

Expiration Date

06/30/2026

City

ROCKFORD

State

Zip

61104

County

WINNEBAGO

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

04/12/2023