BRIAN ANDREW GRICE MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125077836

License Status

CANCELLED

Business

Title

First Name

BRIAN

Middle

ANDREW

Last Name

GRICE

Business Name

BRIAN ANDREW GRICE MD

Original Issue Date

06/24/2021

Effective Date

06/24/2021

Expiration Date

06/23/2024

City

CHICAGO

State

Zip

60631

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

07/18/2024