MARTIN MICHAEL GRUCA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125071702

License Status

CANCELLED

Business

Title

First Name

MARTIN

Middle

MICHAEL

Last Name

GRUCA

Business Name

MARTIN MICHAEL GRUCA MD

Original Issue Date

06/20/2018

Effective Date

06/20/2018

Expiration Date

06/19/2021

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

04/24/2018