GARY J GRONSTEDT DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****42

License Status

ACTIVE

Business

First Name

GARY

Middle

Last Name

GRONSTEDT

Suffix

Business Name

GARY J GRONSTEDT DO

Original Issue Date

09/17/2019

Effective Date

04/20/2023

Expiration Date

07/31/2026

City

ST PAUL

State

Zip

55105

County

MINNESOTA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/20/2023