EMANUEL WILLIAM GRANT MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125077656

License Status

CANCELLED

Business

Title

First Name

EMANUEL

Middle

WILLIAM

Last Name

GRANT

Business Name

EMANUEL WILLIAM GRANT MD

Original Issue Date

06/24/2021

Effective Date

06/24/2021

Expiration Date

06/23/2024

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

04/28/2021