PHILIP G GRANDINETTI Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125026303

License Status

EXPIRED

Business

First Name

PHILIP G

Last Name

GRANDINETTI

Business Name

PHILIP G GRANDINETTI

Original Issue Date

04/30/1991

Effective Date

04/30/1991

Expiration Date

06/30/1994

City

PARK RIDGE

State

Zip

60068

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006