GREGORY WAYNE GRZESIK DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125062888

License Status

CANCELLED

Business

Title

First Name

GREGORY

Middle

WAYNE

Last Name

GRZESIK

Business Name

GREGORY WAYNE GRZESIK DO

Original Issue Date

06/24/2013

Effective Date

06/24/2013

Expiration Date

06/23/2016

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

03/24/2014