LARS GRANT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036138607

License Status

NOT RENEWED

Business

Title

First Name

LARS

Last Name

GRANT

Business Name

LARS GRANT MD

Original Issue Date

07/08/2015

Effective Date

07/08/2015

Expiration Date

07/31/2017

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

11/01/2017