GREGORY WAYNE GRZESIK DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036139142

License Status

NOT RENEWED

Business

Title

First Name

GREGORY

Middle

WAYNE

Last Name

GRZESIK

Business Name

GREGORY WAYNE GRZESIK DO

Original Issue Date

09/21/2015

Effective Date

09/21/2015

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

11/01/2017