License Directory

Paul W Grotenhuis Md

Expired

Illinois license 036046556

License

Licensed by
Illinois Department of Financial and Professional Regulation
License number
036046556
Status
Expired (Not Renewed)
First issued
October 20, 1972
License holder
Paul W Grotenhuis Md
Entity type
Individual

Classifications

More from the license record

Current term began
10/20/1972

Contact

Forest Park, WI 60130
Wisconsin County