JEFFREY W GROSSKOPF MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****41

License Status

NOT RENEWED

Business

First Name

JEFFREY W

Last Name

GROSSKOPF

Suffix

Business Name

JEFFREY W GROSSKOPF MD

Original Issue Date

07/30/1996

Effective Date

05/13/2011

Expiration Date

07/31/2014

City

ELGIN

State

Zip

60123

County

KANE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020