MOLLY K GROOSE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130001035

License Status

NOT RENEWED

Business

Title

First Name

MOLLY

Middle

Last Name

GROOSE

Business Name

MOLLY K GROOSE MD

Original Issue Date

02/01/2015

Effective Date

02/01/2015

Expiration Date

07/31/2015

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

01/07/2016