MICHAEL E GRZELAK MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125053394

License Status

CANCELLED

Business

First Name

MICHAEL

Middle

Last Name

GRZELAK

Suffix

Business Name

MICHAEL E GRZELAK MD

Original Issue Date

06/22/2007

Effective Date

06/22/2007

Expiration Date

06/21/2010

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

06/28/2011