AMY LORIN GRUBER MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125056085

License Status

CANCELLED

Business

Title

First Name

AMY

Middle

LORIN

Last Name

GRUBER

Business Name

AMY LORIN GRUBER MD

Original Issue Date

06/24/2009

Effective Date

06/24/2009

Expiration Date

06/23/2012

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

05/18/2009