EDWARD WILLIAM GRONKO Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004354

License Status

ACTIVE

Business

First Name

EDWARD

Middle

WILLIAM

Last Name

GRONKO

Business Name

EDWARD WILLIAM GRONKO

Original Issue Date

07/16/2012

Effective Date

12/04/2025

Expiration Date

03/01/2028

City

NORTHLAKE

State

Zip

60164

County

COOK

Ever Disciplined

LastModifiedDate

12/04/2025