JACOB ALAN GRAND MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125070756

License Status

CANCELLED

Business

Title

First Name

JACOB

Middle

ALAN

Last Name

GRAND

Business Name

JACOB ALAN GRAND MD

Original Issue Date

06/24/2017

Effective Date

06/24/2017

Expiration Date

06/23/2020

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

05/25/2017