JACK LOUIS GRALLER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****80

License Status

NOT RENEWED

Business

First Name

JACK LOUIS

Last Name

GRALLER

Suffix

Business Name

JACK LOUIS GRALLER MD

Original Issue Date

01/01/1997

Effective Date

07/15/2020

Expiration Date

07/31/2023

City

WILMETTE

State

Zip

60091

County

COOK

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

11/30/2023