GERRIT PAUL GROEN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****69

License Status

CANCELLED

Business

First Name

GERRIT PAUL

Last Name

GROEN

Suffix

Business Name

GERRIT PAUL GROEN MD

Original Issue Date

01/01/1997

Expiration Date

07/31/2008

City

WHEATON

State

Zip

60187

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/17/2008