MICHAEL S GROSSMAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****21

License Status

NOT RENEWED

Business

Title

First Name

MICHAEL

Middle

Last Name

GROSSMAN

Business Name

MICHAEL S GROSSMAN MD

Original Issue Date

09/16/2011

Effective Date

04/11/2017

Expiration Date

09/30/2020

City

SAINT LOUIS

State

Zip

63132

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021