GRANT CONNELL HALLOCK DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036166239

License Status

ACTIVE

Business

Title

First Name

GRANT

Middle

CONNELL

Last Name

HALLOCK

Business Name

GRANT CONNELL HALLOCK DO

Original Issue Date

08/01/2023

Effective Date

08/01/2023

Expiration Date

07/31/2026

City

DES PLAINES

State

Zip

60016

Ever Disciplined

LastModifiedDate

05/13/2025