MARAT V GRIGOROV DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125066091

License Status

CANCELLED

Business

Title

First Name

MARAT

Middle

Last Name

GRIGOROV

Business Name

MARAT V GRIGOROV DO

Original Issue Date

10/01/2014

Effective Date

10/01/2014

Expiration Date

09/30/2017

City

NORMAL

State

Zip

61761

County

MCLEAN

Specialty/Qualifier

Neurological Surgery

Ever Disciplined

LastModifiedDate

10/07/2014