GREGG R FENSKE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036057101

License Status

NOT RENEWED

Business

First Name

GREGG R

Last Name

FENSKE

Suffix

Business Name

GREGG R FENSKE MD

Original Issue Date

07/24/1978

Effective Date

09/22/2020

Expiration Date

07/31/2023

City

LONG GROVE

State

Zip

60047

County

DUPAGE

Ever Disciplined

LastModifiedDate

11/30/2023