JEHOVANY EDWARD GRATIA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125083005

License Status

ACTIVE

Business

Title

First Name

JEHOVANY

Middle

EDWARD

Last Name

GRATIA

Business Name

JEHOVANY EDWARD GRATIA MD

Original Issue Date

07/01/2023

Effective Date

07/01/2023

Expiration Date

06/30/2026

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

06/07/2023