SCOTT BRYAN GRANT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****97

License Status

NOT RENEWED

Business

Title

First Name

SCOTT

Middle

BRYAN

Last Name

GRANT

Business Name

SCOTT BRYAN GRANT MD

Original Issue Date

09/13/2012

Effective Date

05/18/2017

Expiration Date

09/30/2020

City

DANBURY

State

Zip

06811

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021