DOMINIC JOSEPH GRISAFE MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125082743

License Status

CANCELLED

Business

Title

First Name

DOMINIC

Middle

JOSEPH

Last Name

GRISAFE

Business Name

DOMINIC JOSEPH GRISAFE MD

Original Issue Date

06/24/2023

Effective Date

06/24/2023

Expiration Date

06/23/2026

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

08/28/2025