EVALYN N GRANT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036078706

License Status

NOT RENEWED

Business

First Name

EVALYN N

Last Name

GRANT

Suffix

Business Name

EVALYN N GRANT MD

Original Issue Date

04/15/1989

Effective Date

04/15/1989

Expiration Date

07/31/2002

City

OAK PARK

State

Zip

60302

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006