LONN J GRANDIA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036073884

License Status

NOT RENEWED

Business

First Name

LONN J

Last Name

GRANDIA

Suffix

Business Name

LONN J GRANDIA MD

Original Issue Date

10/03/1986

Effective Date

10/01/2020

Expiration Date

07/31/2023

City

EDWARDSVILLE

State

Zip

62026

County

MADISON

Ever Disciplined

LastModifiedDate

11/30/2023