ELIZABETH NICOLE GROOTHUIS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****06

License Status

ACTIVE

Business

Title

First Name

ELIZABETH

Middle

NICOLE

Last Name

GROOTHUIS

Business Name

ELIZABETH NICOLE GROOTHUIS MD

Original Issue Date

11/05/2018

Effective Date

07/10/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60614

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/10/2023