COLLEEN VICTORIA LOO GROSS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036138014

License Status

NOT RENEWED

Business

Title

First Name

COLLEEN

Middle

VICTORIA

Last Name

LOO GROSS

Business Name

COLLEEN VICTORIA LOO GROSS MD

Original Issue Date

05/15/2015

Effective Date

06/26/2017

Expiration Date

09/30/2020

City

EASTBOROUGH

State

Zip

67206

Ever Disciplined

LastModifiedDate

01/14/2021