ANN L GRUNWALD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036076772

License Status

NOT RENEWED

Business

First Name

ANN

Middle

Last Name

GRUNWALD

Suffix

Business Name

ANN L GRUNWALD MD

Original Issue Date

03/08/1988

Effective Date

03/08/1988

Expiration Date

07/31/1990

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

08/06/2009

Case Number

2009003649

Action

Refuse To Renew

Discipline Start Date

08/06/2009