DAVID GRACE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036064209

License Status

NOT RENEWED

Business

First Name

DAVID

Last Name

GRACE

Suffix

Business Name

DAVID GRACE MD

Original Issue Date

04/29/1982

Effective Date

04/29/1982

Expiration Date

07/31/1984

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

09/20/2006