KATHLEEN A GROSS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****02

License Status

NOT RENEWED

Business

First Name

KATHLEEN A

Last Name

GROSS

Suffix

Business Name

KATHLEEN A GROSS MD

Original Issue Date

06/12/1991

Effective Date

06/12/1991

Expiration Date

07/31/1993

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006