GRANT THEODORE GOLDSBERRY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036168013

License Status

ACTIVE

Business

Title

First Name

GRANT

Middle

THEODORE

Last Name

GOLDSBERRY

Business Name

GRANT THEODORE GOLDSBERRY MD

Original Issue Date

12/19/2023

Effective Date

12/19/2023

Expiration Date

07/31/2026

City

ALLEMAN

State

Zip

50007

Ever Disciplined

LastModifiedDate

12/19/2023