JONATHAN GRISWOLD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125014516

License Status

EXPIRED

Business

First Name

JONATHAN

Last Name

GRISWOLD

Business Name

JONATHAN GRISWOLD

Original Issue Date

06/30/1982

Effective Date

06/30/1982

Expiration Date

06/23/1984

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006