GRANT BRIAN ETNYRE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036096765

License Status

NOT RENEWED

Business

Title

First Name

GRANT

Middle

BRIAN

Last Name

ETNYRE

Business Name

GRANT BRIAN ETNYRE MD

Original Issue Date

10/02/1997

Effective Date

02/03/2017

Expiration Date

07/31/2017

City

ELGIN

State

Zip

60124

County

KANE

Ever Disciplined

LastModifiedDate

11/01/2017