TED WILLIAM GRACE MD Medical Doctor License verification

TED WILLIAM GRACE MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036129230

License Status

NOT RENEWED

Business

Title

First Name

TED

Middle

WILLIAM

Last Name

GRACE

Business Name

TED WILLIAM GRACE MD

Original Issue Date

11/15/2011

Effective Date

05/19/2020

Expiration Date

07/31/2023

City

MAKANDA

State

Zip

62958

County

JACKSON

Ever Disciplined

LastModifiedDate

11/30/2023

Case Number

2021002479

Action

Surrender (Relinquish)

Discipline Start Date

04/22/2021

Discipline Reason

physician and surgeon license placed on permanent surrender status due to an adverse action take by the state of Ohio where his license to practice medicine and surgery was permanently revoked on April 14, 2021.