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Licensing details for: G 79394

Name: GROSS, JEFFREY DAVID

License Type: Physician and Surgeon G

Primary Status: License Revoked Primary Status Definition

Secondary Status: Felony ConvictionPrimary Status Definition

School Name: George Washington University School of Medicine

Graduation Year: 1992

Address of Record

4700 Von Karman Ave Ste 1000
NEWPORT BEACH CA 92660-2194
ORANGE county
Map

Issuance Date

July 6, 1994

Expiration Date

N/A

Current Date / Time

April 5, 2026
3:28:03 AM

Public Record Actions

Public Documents

Survey Information

The following information is self-reported by the licensee and has not been verified by the Board.

No AB 133 Survey Information Provided by Licensee

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