DECEBAL SORIN GRIZA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125054613

License Status

CANCELLED

Business

Title

First Name

DECEBAL

Middle

SORIN

Last Name

GRIZA

Business Name

DECEBAL SORIN GRIZA MD

Original Issue Date

06/23/2008

Effective Date

06/23/2008

Expiration Date

06/22/2011

City

PARK RIDGE

State

Zip

60068

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

05/05/2008