JAMES MICHAEL GRACE MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125065587

License Status

CANCELLED

Business

Title

First Name

JAMES

Middle

MICHAEL

Last Name

GRACE

Business Name

JAMES MICHAEL GRACE MD

Original Issue Date

06/22/2017

Effective Date

06/22/2017

Expiration Date

06/21/2018

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Internal Medicine/Pediatrics

Ever Disciplined

LastModifiedDate

06/26/2017