MCKENZIE KAY-LEE GRISSOM MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125084747

License Status

ACTIVE

Business

Title

First Name

MCKENZIE

Middle

KAY-LEE

Last Name

GRISSOM

Business Name

MCKENZIE KAY-LEE GRISSOM MD

Original Issue Date

06/24/2024

Effective Date

06/24/2024

Expiration Date

06/23/2027

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

06/20/2024