MICHAEL PAUL GROSSMAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****03

License Status

NOT RENEWED

Business

First Name

MICHAEL PAUL

Last Name

GROSSMAN

Suffix

Business Name

MICHAEL PAUL GROSSMAN MD

Original Issue Date

10/06/1981

Effective Date

05/25/2011

Expiration Date

07/31/2014

City

HIGHLAND PARK

State

Zip

60035

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020