KENDRA JANEL GRUBB MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125049935

License Status

CANCELLED

Business

First Name

KENDRA

Middle

JANEL

Last Name

GRUBB

Suffix

Business Name

KENDRA JANEL GRUBB MD

Original Issue Date

06/24/2005

Effective Date

06/24/2005

Expiration Date

06/23/2008

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

09/22/2006