ENRIQUE GRINBLAT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036041512

License Status

NOT RENEWED

Business

First Name

ENRIQUE

Last Name

GRINBLAT

Suffix

Business Name

ENRIQUE GRINBLAT MD

Original Issue Date

11/17/1967

Effective Date

04/13/2015

Expiration Date

07/31/2017

City

WILMETTE

State

Zip

60091

County

COOK

Ever Disciplined

LastModifiedDate

11/01/2017