RANDALL DAVID GRANT DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036142144

License Status

ACTIVE

Business

Title

First Name

RANDALL

Middle

DAVID

Last Name

GRANT

Business Name

RANDALL DAVID GRANT DO

Original Issue Date

12/28/2016

Effective Date

04/15/2023

Expiration Date

07/31/2026

City

RIVER FOREST

State

Zip

60305

County

COOK

Ever Disciplined

LastModifiedDate

10/13/2023