THOMAS H GRIMSTAD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036049347

License Status

NOT RENEWED

Business

First Name

THOMAS H

Last Name

GRIMSTAD

Suffix

Business Name

THOMAS H GRIMSTAD MD

Original Issue Date

06/17/1974

Effective Date

06/17/1974

City

FOREST PARK

State

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006