THEODORE J GRONSKI JR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****93

License Status

NOT RENEWED

Business

First Name

THEODORE J

Last Name

GRONSKI JR

Suffix

Business Name

THEODORE J GRONSKI JR MD

Original Issue Date

02/27/1989

Effective Date

02/27/1989

Expiration Date

07/31/1993

City

CHICAGO

State

Zip

60680

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006