JONATHAN TAYLOR GROSSMAN DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****69

License Status

ACTIVE

Business

Title

First Name

JONATHAN

Middle

TAYLOR

Last Name

GROSSMAN

Business Name

JONATHAN TAYLOR GROSSMAN DO

Original Issue Date

11/25/2024

Effective Date

11/25/2024

Expiration Date

07/31/2026

City

VALPARAISO

State

Zip

46383

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/06/2024