GRANT DANIEL SHIFFLETT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036138615

License Status

NOT RENEWED

Business

Title

First Name

GRANT

Middle

DANIEL

Last Name

SHIFFLETT

Business Name

GRANT DANIEL SHIFFLETT MD

Original Issue Date

07/09/2015

Effective Date

07/09/2015

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

11/01/2017