STEPHEN M GRYZLO MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****01

License Status

ACTIVE

Business

First Name

STEPHEN

Middle

Last Name

GRYZLO

Suffix

Business Name

STEPHEN M GRYZLO MD

Original Issue Date

05/06/1987

Effective Date

04/09/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60611

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/09/2023