KYLE ROBERT GRANT DO

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****00

NOT RENEWED

N

DO

KYLE

ROBERT

GRANT

KYLE ROBERT GRANT DO

10/26/2022

10/26/2022

07/31/2023

POWAY

CA

92064

PRACTITIONER

II III IV V

N

11/30/2023