THOMAS KENNETH GRUDOWSKI DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****34

License Status

ACTIVE

Business

Title

First Name

THOMAS

Middle

KENNETH

Last Name

GRUDOWSKI

Business Name

THOMAS KENNETH GRUDOWSKI DO

Original Issue Date

08/18/2021

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

DOWNERS GROVE

State

Zip

60515

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/06/2023