TERRANCE RUDOLPH GRANT MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036143126

License Status

ACTIVE

Business

First Name

TERRANCE

Middle

RUDOLPH

Last Name

GRANT

Suffix

Business Name

TERRANCE RUDOLPH GRANT MD

Original Issue Date

05/03/2017

Effective Date

07/30/2023

Expiration Date

07/31/2026

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

09/09/2025