GARRY DWAINE GRANT Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036117029

License Status

NOT RENEWED

Business

First Name

GARRY

Middle

DWAINE

Last Name

GRANT

Business Name

GARRY DWAINE GRANT

Original Issue Date

10/06/2006

Effective Date

07/24/2014

Expiration Date

07/31/2017

City

HARRISBURG

State

Zip

62946

County

SALINE

Ever Disciplined

LastModifiedDate

11/01/2017