ERIC JOSEPH GROSSMAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****53

License Status

NOT RENEWED

Business

First Name

ERIC

Middle

JOSEPH

Last Name

GROSSMAN

Suffix

Business Name

ERIC JOSEPH GROSSMAN MD

Original Issue Date

10/11/2007

Effective Date

08/12/2008

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020