FELIPE HUMBERTO GRIMALDO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****92

License Status

NOT RENEWED

Business

Title

First Name

FELIPE

Middle

HUMBERTO

Last Name

GRIMALDO

Business Name

FELIPE HUMBERTO GRIMALDO MD

Original Issue Date

01/17/2014

Effective Date

07/07/2014

Expiration Date

07/31/2017

City

OAK PARK

State

Zip

60301

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017