ANTONIO MEDARDO GRANDA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036157226

License Status

ACTIVE

Business

Title

First Name

ANTONIO

Middle

MEDARDO

Last Name

GRANDA

Business Name

ANTONIO MEDARDO GRANDA MD

Original Issue Date

06/04/2021

Effective Date

09/22/2023

Expiration Date

07/31/2026

City

ALTON

State

Zip

62002

Ever Disciplined

LastModifiedDate

09/22/2023