GARY J GRONSTEDT DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036107046

License Status

ACTIVE

Business

First Name

GARY

Middle

Last Name

GRONSTEDT

Suffix

Business Name

GARY J GRONSTEDT DO

Original Issue Date

05/24/2002

Effective Date

04/20/2023

Expiration Date

07/31/2026

City

MINNEAPOLIS

State

Zip

55422

Ever Disciplined

LastModifiedDate

03/21/2024