PATRICIA V GRODECKI Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****78

License Status

NOT RENEWED

Business

First Name

PATRICIA V

Last Name

GRODECKI

Business Name

PATRICIA V GRODECKI

Original Issue Date

12/12/1988

Effective Date

12/12/1988

Expiration Date

07/31/1993

City

CHICAGO

State

Zip

60615

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020