KEMORIA Q GRANBERRY DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125062191

License Status

CANCELLED

Business

Title

First Name

KEMORIA

Middle

Last Name

GRANBERRY

Business Name

KEMORIA Q GRANBERRY DO

Original Issue Date

07/01/2015

Effective Date

07/01/2015

Expiration Date

06/30/2016

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

Obstetrics and Gynecology

Ever Disciplined

LastModifiedDate

05/27/2015