CHARLES JASON GRODZIN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036084796

License Status

NOT RENEWED

Business

Title

First Name

CHARLES

Middle

JASON

Last Name

GRODZIN

Business Name

CHARLES JASON GRODZIN MD

Original Issue Date

07/13/1992

Effective Date

04/05/2012

Expiration Date

07/31/2014

City

DENTON

State

Zip

76210

County

TEXAS

Ever Disciplined

LastModifiedDate

04/29/2025