LEONID S GROSSMAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****19

License Status

ACTIVE

Business

Title

First Name

LEONID

Middle

Last Name

GROSSMAN

Business Name

LEONID S GROSSMAN MD

Original Issue Date

11/07/2025

Effective Date

11/07/2025

Expiration Date

07/31/2026

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/07/2025