GREGORY D GRAMSTAD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036105544

License Status

NOT RENEWED

Business

First Name

GREGORY

Middle

Last Name

GRAMSTAD

Business Name

GREGORY D GRAMSTAD

Original Issue Date

09/07/2001

Effective Date

09/07/2001

Expiration Date

07/31/2005

City

OAK PARK

State

Zip

60304

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006