KRISTA ALENE GRANDEY DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125056617

License Status

EXPIRED

Business

Title

First Name

KRISTA

Middle

ALENE

Last Name

GRANDEY

Business Name

KRISTA ALENE GRANDEY DO

Original Issue Date

07/01/2009

Effective Date

07/01/2009

Expiration Date

06/30/2012

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

08/29/2012