DAVA LYNN GRUNDHOEFER MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125055060

License Status

EXPIRED

Business

Title

First Name

DAVA

Middle

LYNN

Last Name

GRUNDHOEFER

Business Name

DAVA LYNN GRUNDHOEFER MD

Original Issue Date

07/01/2009

Effective Date

07/01/2009

Expiration Date

06/30/2011

City

ELGIN

State

Zip

60123

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

07/19/2011