MIGUEL H GRANGER MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036103215

License Status

ACTIVE

Business

First Name

MIGUEL

Middle

Last Name

GRANGER

Suffix

Business Name

MIGUEL H GRANGER MD

Original Issue Date

08/08/2000

Effective Date

06/09/2023

Expiration Date

07/31/2026

City

EAST ST LOUIS

State

Zip

62205

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

06/09/2023