MICHAEL J GROBAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****62

License Status

NOT RENEWED

Business

Title

First Name

MICHAEL

Middle

Last Name

GROBAN

Business Name

MICHAEL J GROBAN MD

Original Issue Date

02/20/2013

Effective Date

02/20/2013

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60615

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/08/2014