JESSIE REYNOLDS GROOTHUIS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036047565

License Status

NOT RENEWED

Business

First Name

JESSIE REYNOLDS

Last Name

GROOTHUIS

Suffix

Business Name

JESSIE REYNOLDS GROOTHUIS MD

Original Issue Date

07/20/1973

Effective Date

07/20/1973

City

NASHVILLE

State

Zip

37205

County

TENNESSEE

Ever Disciplined

LastModifiedDate

09/20/2006