CHARLES R GRUNER MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****43

License Status

ACTIVE

Business

First Name

CHARLES

Middle

Last Name

GRUNER

Suffix

Business Name

CHARLES R GRUNER MD

Original Issue Date

09/01/2006

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

EVANSTON

State

Zip

60202

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/06/2023