DANIEL JOSEPH GRYZLO MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125080399

License Status

CANCELLED

Business

Title

First Name

DANIEL

Middle

JOSEPH

Last Name

GRYZLO

Business Name

DANIEL JOSEPH GRYZLO MD

Original Issue Date

06/22/2022

Effective Date

06/22/2022

Expiration Date

06/21/2025

City

RIVER FOREST

State

Zip

60305

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

12/05/2024