HOMER CLOUSE GROVES MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****59

License Status

NOT RENEWED

Business

First Name

HOMER

Middle

CLOUSE

Last Name

GROVES

Suffix

Business Name

HOMER CLOUSE GROVES MD

Original Issue Date

01/01/1997

Effective Date

05/19/2017

Expiration Date

09/30/2020

City

WILMETTE

State

Zip

60091

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021