THEODORE J GRONSKI JR MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125021436

License Status

EXPIRED

Business

First Name

THEODORE J

Last Name

GRONSKI JR

Suffix

Business Name

THEODORE J GRONSKI JR MD

Original Issue Date

06/24/1987

Effective Date

06/24/1987

Expiration Date

07/01/1990

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006