CHELESTES LEE K GRACE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036130901

License Status

NOT RENEWED

Business

Title

First Name

CHELESTES LEE

Middle

Last Name

GRACE

Business Name

CHELESTES LEE K GRACE MD

Original Issue Date

07/19/2012

Effective Date

07/19/2012

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60606

County

COOK

Ever Disciplined

LastModifiedDate

11/17/2014