THOMAS W GROSSMAN JR MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****89

License Status

CANCELLED

Business

First Name

THOMAS

Middle

Last Name

GROSSMAN

Suffix

JR MD

Business Name

THOMAS W GROSSMAN JR MD

Original Issue Date

02/25/1993

Effective Date

02/25/1993

Expiration Date

07/31/2002

City

LIBERTYVILLE

State

Zip

60048

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2017