MARY ELIZABETH GRACE Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036037302

License Status

CANCELLED

Business

First Name

MARY ELIZABETH

Last Name

GRACE

Business Name

MARY ELIZABETH GRACE

Original Issue Date

09/11/1986

Effective Date

09/11/1986

Expiration Date

07/31/1987

City

CHICAGO

State

Zip

60628

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006