MARK D GRANT MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036075647

License Status

ACTIVE

Business

First Name

MARK D

Last Name

GRANT

Suffix

Business Name

MARK D GRANT MD

Original Issue Date

09/05/1987

Effective Date

07/11/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60601

County

COOK

Ever Disciplined

LastModifiedDate

07/11/2023