DAVID MICHAEL GROSSMANN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****99

License Status

CANCELLED

Business

First Name

DAVID MICHAEL

Last Name

GROSSMANN

Suffix

Business Name

DAVID MICHAEL GROSSMANN MD

Original Issue Date

01/01/1997

Effective Date

05/05/2011

Expiration Date

07/31/2014

City

HIGHLAND PARK

State

Zip

60035

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/08/2014