License holder summary

GROSSMAN MICHAEL JACK is a Medicine (Physician, Including M Ds & D Os) licensed to practice in New York. The address on file for GROSSMAN MICHAEL JACK is LAKE FOREST CA. This doctor license is not current. The license was granted 07/02/1975.

New York

Office of the Professions

GROSSMAN MICHAEL JACK
Medicine (Physician, Including M Ds & D Os)
License number
124416
Date granted
07/02/1975
Class
Medicine (Physician, Including M Ds & D Os)
Status
Not Registered
Address
LAKE FOREST CA
nymedicine.org
ID 30159063
LAST UPDATED 2024-03-24 14:44:47 UTC

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