NICHOLAS DONALD GROSS DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****62

License Status

ACTIVE

Business

Title

First Name

NICHOLAS

Middle

DONALD

Last Name

GROSS

Business Name

NICHOLAS DONALD GROSS DO

Original Issue Date

04/11/2024

Effective Date

04/11/2024

Expiration Date

07/31/2026

City

KANKAKEE

State

Zip

60901

County

KANKAKEE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/11/2024