ANN L GRUNWALD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****51

License Status

NOT RENEWED

Business

First Name

ANN

Middle

Last Name

GRUNWALD

Suffix

Business Name

ANN L GRUNWALD MD

Original Issue Date

03/17/1988

Effective Date

03/17/1988

Expiration Date

07/31/1990

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006