MARY ELLEN GRUSZKA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****03

License Status

NOT RENEWED

Business

First Name

MARY ELLEN

Last Name

GRUSZKA

Suffix

Business Name

MARY ELLEN GRUSZKA MD

Original Issue Date

07/24/1981

Effective Date

06/24/2020

Expiration Date

07/31/2023

City

NORTH RIVERSIDE

State

Zip

60546

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023