JEFFREY JOSEPH GRONKIEWICZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036131835

License Status

NOT RENEWED

Business

Title

First Name

JEFFREY

Middle

JOSEPH

Last Name

GRONKIEWICZ

Business Name

JEFFREY JOSEPH GRONKIEWICZ MD

Original Issue Date

12/12/2012

Effective Date

12/12/2012

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60601

County

COOK

Ever Disciplined

LastModifiedDate

11/17/2014