MILES WILLIAM GRUNVALD MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036170115

License Status

ACTIVE

Business

Title

First Name

MILES

Middle

WILLIAM

Last Name

GRUNVALD

Business Name

MILES WILLIAM GRUNVALD MD

Original Issue Date

05/02/2024

Effective Date

05/02/2024

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

02/02/2024