SEAN CHRISTOPHER GRONDIN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****06

License Status

NOT RENEWED

Business

First Name

SEAN

Middle

CHRISTOPHER

Last Name

GRONDIN

Suffix

Business Name

SEAN CHRISTOPHER GRONDIN MD

Original Issue Date

05/22/2000

Effective Date

05/22/2000

Expiration Date

07/31/2005

City

EVANSTON

State

Zip

60201

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006