MICHAEL B GRONBERG MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125030894

License Status

EXPIRED

Business

Title

First Name

MICHAEL

Middle

Last Name

GRONBERG

Business Name

MICHAEL B GRONBERG MD

Original Issue Date

04/28/1994

Effective Date

04/28/1994

Expiration Date

06/30/1997

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

09/22/2006