LAURA ANN GRUNEIRO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****39

License Status

NOT RENEWED

Business

First Name

LAURA

Middle

ANN

Last Name

GRUNEIRO

Suffix

Business Name

LAURA ANN GRUNEIRO MD

Original Issue Date

06/24/1998

Effective Date

06/24/1998

Expiration Date

07/31/2005

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006