REBECCA MARIE GRUNDY Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****49

License Status

ACTIVE

Business

First Name

REBECCA

Middle

MARIE

Last Name

GRUNDY

Business Name

REBECCA MARIE GRUNDY

Original Issue Date

03/20/2020

Effective Date

12/03/2025

Expiration Date

03/01/2028

City

CHICAGO

State

Zip

60613

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/03/2025