MICHAEL PAUL GROSSMAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****49

License Status

NOT RENEWED

Business

First Name

MICHAEL PAUL

Last Name

GROSSMAN

Suffix

Business Name

MICHAEL PAUL GROSSMAN MD

Original Issue Date

03/02/2006

Effective Date

06/26/2017

Expiration Date

09/30/2020

City

HIGHLAND PARK

State

Zip

60035

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021