SCOTT BRYAN GRANT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036130819

License Status

NOT RENEWED

Business

Title

First Name

SCOTT

Middle

BRYAN

Last Name

GRANT

Business Name

SCOTT BRYAN GRANT MD

Original Issue Date

07/11/2012

Effective Date

05/18/2017

Expiration Date

09/30/2020

City

DANBURY

State

Zip

06811

Ever Disciplined

LastModifiedDate

01/14/2021