BRIAN MICHAEL GROSS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****43

License Status

NOT RENEWED

Business

First Name

BRIAN

Middle

MICHAEL

Last Name

GROSS

Suffix

Business Name

BRIAN MICHAEL GROSS MD

Original Issue Date

03/19/2001

Effective Date

03/19/2001

Expiration Date

07/31/2008

City

SILVIS

State

Zip

61282

County

ROCK ISLAND

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020