COLLEEN VICTORIA LOO GROSS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****50

License Status

NOT RENEWED

Business

Title

First Name

COLLEEN

Middle

VICTORIA

Last Name

LOO GROSS

Business Name

COLLEEN VICTORIA LOO GROSS MD

Original Issue Date

05/15/2015

Effective Date

06/26/2017

Expiration Date

09/30/2020

City

BERWYN

State

Zip

60402

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021