RICHARD J GROSTERN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****78

License Status

ACTIVE

Business

First Name

RICHARD

Middle

Last Name

GROSTERN

Suffix

Business Name

RICHARD J GROSTERN MD

Original Issue Date

03/16/1999

Effective Date

05/09/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2023