DAVID L GRINBLATT MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****12

License Status

ACTIVE

Business

First Name

DAVID L

Last Name

GRINBLATT

Suffix

Business Name

DAVID L GRINBLATT MD

Original Issue Date

07/22/1988

Effective Date

05/08/2023

Expiration Date

07/31/2026

City

EVANSTON

State

Zip

60201

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/08/2023