GRANT NICHOLAS ECKELKAMP DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125084684

License Status

ACTIVE

Business

Title

First Name

GRANT

Middle

NICHOLAS

Last Name

ECKELKAMP

Business Name

GRANT NICHOLAS ECKELKAMP DO

Original Issue Date

07/01/2024

Effective Date

07/01/2024

Expiration Date

06/30/2027

City

WHEATON

State

Zip

60187

County

DUPAGE

Specialty/Qualifier

Physical Medicine and Rehabilitation

Ever Disciplined

LastModifiedDate

06/15/2024