ERIKA MICHELLE GRANT MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125057038

License Status

CANCELLED

Business

Title

First Name

ERIKA

Middle

MICHELLE

Last Name

GRANT

Business Name

ERIKA MICHELLE GRANT MD

Original Issue Date

06/24/2009

Effective Date

06/24/2009

Expiration Date

06/23/2012

City

DANVILLE

State

Zip

61832

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

06/18/2009