MARY LORRAINE GREBENC MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036129911

License Status

INACTIVE

Business

Title

First Name

MARY

Middle

LORRAINE

Last Name

GREBENC

Business Name

MARY LORRAINE GREBENC MD

Original Issue Date

03/30/2012

Effective Date

07/24/2017

Expiration Date

09/30/2020

City

SAN DIEGO

State

Zip

92108

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

04/05/2020