FRED E GRAYSON MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036042438

License Status

INACTIVE

Business

First Name

FRED E

Last Name

GRAYSON

Suffix

Business Name

FRED E GRAYSON MD

Original Issue Date

04/14/1969

Effective Date

04/14/1969

Expiration Date

07/31/1987

City

HOMEWOOD

State

Zip

60430

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006