EDWARD WILLIAM GRONKO Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****29

License Status

ACTIVE

Business

First Name

EDWARD

Middle

WILLIAM

Last Name

GRONKO

Business Name

EDWARD WILLIAM GRONKO

Original Issue Date

03/11/2013

Effective Date

12/04/2025

Expiration Date

03/01/2028

City

SKOKIE

State

Zip

60076

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/04/2025