KATE LAUREN GROSSMAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****09

License Status

NOT RENEWED

Business

Title

First Name

KATE

Middle

LAUREN

Last Name

GROSSMAN

Business Name

KATE LAUREN GROSSMAN MD

Original Issue Date

03/09/2011

Effective Date

07/26/2011

Expiration Date

07/31/2014

City

BERWYN

State

Zip

60402

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014