BOYD J GROTH MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036049361

License Status

INACTIVE

Business

First Name

BOYD J

Last Name

GROTH

Suffix

Business Name

BOYD J GROTH MD

Original Issue Date

07/03/1974

Effective Date

07/03/1974

Expiration Date

07/31/1987

City

MOSINEE

State

Zip

54455

County

WISCONSIN

Ever Disciplined

LastModifiedDate

09/20/2006