JENNIFER O GRUBE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036103922

License Status

NOT RENEWED

Business

First Name

JENNIFER

Middle

Last Name

GRUBE

Suffix

Business Name

JENNIFER O GRUBE MD

Original Issue Date

12/15/2000

Effective Date

12/15/2000

Expiration Date

07/31/2002

City

CHICAGO

State

Zip

60610

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006