MARTIN MICHAEL GRUCA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****24

License Status

ACTIVE

Business

Title

First Name

MARTIN

Middle

MICHAEL

Last Name

GRUCA

Business Name

MARTIN MICHAEL GRUCA MD

Original Issue Date

04/29/2021

Effective Date

04/11/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60637

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/26/2025