CARLA ANDREA GROSSOLI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****78

License Status

NOT RENEWED

Business

Title

First Name

CARLA

Middle

ANDREA

Last Name

GROSSOLI

Business Name

CARLA ANDREA GROSSOLI MD

Original Issue Date

11/07/2013

Effective Date

04/18/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60601

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017