ROGER ALEXANDER GROSSENBACHER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****52

License Status

NOT RENEWED

Business

First Name

ROGER

Middle

ALEXANDER

Last Name

GROSSENBACHER

Suffix

Business Name

ROGER ALEXANDER GROSSENBACHER MD

Original Issue Date

11/13/2001

Effective Date

11/13/2001

Expiration Date

07/31/2008

City

CHICAGO

State

Zip

60611

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008