DAVID C GROUT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036042967

License Status

NOT RENEWED

Business

First Name

DAVID C

Last Name

GROUT

Suffix

Business Name

DAVID C GROUT MD

Original Issue Date

09/26/1969

Effective Date

09/26/1969

Expiration Date

07/31/1984

City

STOUGHTON

State

Zip

53589

County

WISCONSIN

Ever Disciplined

LastModifiedDate

09/20/2006