GRANT DANIEL BARISH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036130667

License Status

ACTIVE

Business

First Name

GRANT

Middle

DANIEL

Last Name

BARISH

Suffix

Business Name

GRANT DANIEL BARISH MD

Original Issue Date

06/28/2012

Effective Date

07/20/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

07/20/2023