LISA M GRANT Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036105209

License Status

NOT RENEWED

Business

First Name

LISA M

Last Name

GRANT

Business Name

LISA M GRANT

Original Issue Date

07/13/2001

Effective Date

07/13/2001

Expiration Date

07/31/2002

City

CHICAGO

State

Zip

60618

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006