GRANT STAFFORD BUCHANAN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125068322

License Status

EXPIRED

Business

Title

First Name

GRANT

Middle

STAFFORD

Last Name

BUCHANAN

Business Name

GRANT STAFFORD BUCHANAN MD

Original Issue Date

06/24/2019

Effective Date

06/24/2019

Expiration Date

06/23/2021

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Orthopaedic Surgery

Ever Disciplined

LastModifiedDate

10/11/2022