EILEEN MAGNO GRUBB MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****30

License Status

ACTIVE

Business

Title

First Name

EILEEN

Middle

MAGNO

Last Name

GRUBB

Business Name

EILEEN MAGNO GRUBB MD

Original Issue Date

07/25/2014

Effective Date

07/23/2023

Expiration Date

07/31/2026

City

LIBERTYVILLE

State

Zip

60048

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/23/2023