JENNIFER LYNN GRANA DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036127224

License Status

NOT RENEWED

Business

First Name

JENNIFER

Middle

LYNN

Last Name

GRANA

Suffix

Business Name

JENNIFER LYNN GRANA DO

Original Issue Date

02/23/2011

Effective Date

05/23/2011

Expiration Date

07/31/2014

City

OFALLON

State

Zip

62269

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

11/17/2014