JACQUELINE HOLT GRANT MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036165013

License Status

ACTIVE

Business

Title

First Name

JACQUELINE

Middle

HOLT

Last Name

GRANT

Business Name

JACQUELINE HOLT GRANT MD

Original Issue Date

06/06/2023

Effective Date

06/06/2023

Expiration Date

07/31/2026

City

MIDLAND

State

Zip

31820

Ever Disciplined

LastModifiedDate

06/01/2023