JAIME GRUTZENDLER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036111728

License Status

NOT RENEWED

Business

First Name

JAIME

Last Name

GRUTZENDLER

Suffix

Business Name

JAIME GRUTZENDLER MD

Original Issue Date

06/30/2004

Effective Date

05/05/2011

Expiration Date

07/31/2014

City

NEW HAVEN

State

Zip

06511

County

CONNECTICUT

Ever Disciplined

LastModifiedDate

11/17/2014