THOMAS L GROSS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****97

License Status

NOT RENEWED

Business

First Name

THOMAS L

Last Name

GROSS

Suffix

Business Name

THOMAS L GROSS MD

Original Issue Date

08/15/1986

Effective Date

07/12/2017

Expiration Date

09/30/2020

City

WASHINGTON

State

Zip

61571

County

PEORIA

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

01/14/2021