JUDITH A GRAVDAL MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036060860

License Status

INACTIVE

Business

First Name

JUDITH A

Last Name

GRAVDAL

Suffix

Business Name

JUDITH A GRAVDAL MD

Original Issue Date

09/11/1980

Effective Date

05/20/2020

Expiration Date

07/31/2023

City

PARK RIDGE

State

Zip

60068

County

COOK

Ever Disciplined

LastModifiedDate

04/04/2023