DANIEL J GRZEGOREK DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****86

License Status

ACTIVE

Business

First Name

DANIEL J

Last Name

GRZEGOREK

Suffix

Business Name

DANIEL J GRZEGOREK DO

Original Issue Date

02/20/1996

Effective Date

04/11/2023

Expiration Date

07/31/2026

City

LAGRANGE

State

Zip

60525

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/11/2023