JACOB WILLIAM GROENENDYK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036157785

License Status

NOT RENEWED

Business

Title

First Name

JACOB

Middle

WILLIAM

Last Name

GROENENDYK

Business Name

JACOB WILLIAM GROENENDYK MD

Original Issue Date

07/21/2021

Effective Date

07/21/2021

Expiration Date

07/31/2023

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

11/30/2023