JAMES MARTIN GRISOLANO JR MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036065277

License Status

INACTIVE

Business

First Name

JAMES MARTIN

Last Name

GRISOLANO JR

Suffix

Business Name

JAMES MARTIN GRISOLANO JR MD

Original Issue Date

08/30/1982

Effective Date

08/30/1982

Expiration Date

07/31/1987

City

COLLINSVILLE

State

Zip

62234

County

MADISON

Ever Disciplined

LastModifiedDate

09/20/2006