MILES WILLIAM GRUNVALD MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****23

License Status

ACTIVE

Business

Title

First Name

MILES

Middle

WILLIAM

Last Name

GRUNVALD

Business Name

MILES WILLIAM GRUNVALD MD

Original Issue Date

07/30/2025

Effective Date

07/30/2025

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

07/30/2025