GRADY PATRICK CREEK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036132048

License Status

NOT RENEWED

Business

Title

First Name

GRADY

Middle

PATRICK

Last Name

CREEK

Business Name

GRADY PATRICK CREEK MD

Original Issue Date

03/07/2013

Effective Date

03/07/2013

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60661

County

COOK

Ever Disciplined

LastModifiedDate

11/17/2014