REBBECCA ANN GRYSIEWICZ DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125050117

License Status

CANCELLED

Business

First Name

REBBECCA

Middle

ANN

Last Name

GRYSIEWICZ

Suffix

Business Name

REBBECCA ANN GRYSIEWICZ DO

Original Issue Date

07/01/2009

Effective Date

07/01/2009

Expiration Date

06/30/2010

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Vascular Neurology

Ever Disciplined

LastModifiedDate

02/24/2011