ANGELIQUA GRANGE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125084480

License Status

ACTIVE

Business

Title

First Name

ANGELIQUA

Last Name

GRANGE

Business Name

ANGELIQUA GRANGE MD

Original Issue Date

07/01/2024

Effective Date

07/01/2024

Expiration Date

06/30/2027

City

NORTH CHICAGO

State

Zip

60064

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

06/12/2024