MICHAEL S GRUSZKA Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****10

License Status

INOPERATIVE

Business

First Name

MICHAEL S

Last Name

GRUSZKA

Business Name

MICHAEL S GRUSZKA

Original Issue Date

03/26/2001

Effective Date

02/09/2012

Expiration Date

03/01/2014

City

ELK GROVE VILLAGE

State

Zip

60007

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2014