DOMINIC JOSEPH GRISAFE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****16

License Status

ACTIVE

Business

Title

First Name

DOMINIC

Middle

JOSEPH

Last Name

GRISAFE

Business Name

DOMINIC JOSEPH GRISAFE MD

Original Issue Date

10/03/2025

Effective Date

10/03/2025

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/02/2025