JAN ELLEN GROUSE MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036059009

License Status

INACTIVE

Business

First Name

JAN ELLEN

Last Name

GROUSE

Suffix

Business Name

JAN ELLEN GROUSE MD

Original Issue Date

07/20/1979

Effective Date

07/20/1979

Expiration Date

07/31/1990

City

GIG HARBOR

State

Zip

98332

County

WASHINGTON

Ever Disciplined

LastModifiedDate

09/20/2006