ROGER ALEXANDER GROSSENBACHER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036105443

License Status

NOT RENEWED

Business

First Name

ROGER

Middle

ALEXANDER

Last Name

GROSSENBACHER

Suffix

Business Name

ROGER ALEXANDER GROSSENBACHER MD

Original Issue Date

08/20/2001

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

NEW YORK

State

Zip

10016

County

NEW YORK

Ever Disciplined

LastModifiedDate

11/06/2008