THOMAS J GRUBER DR Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****87

License Status

ACTIVE

Business

First Name

THOMAS J

Last Name

GRUBER DR

Business Name

THOMAS J GRUBER DR

Original Issue Date

09/07/1989

Effective Date

06/26/2023

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61614

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/26/2023