JALARNA JUANITA GRANT MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130000987

License Status

CANCELLED

Business

Title

First Name

JALARNA

Middle

JUANITA

Last Name

GRANT

Business Name

JALARNA JUANITA GRANT MD

Original Issue Date

02/20/2014

Effective Date

02/20/2014

Expiration Date

08/19/2014

City

CHICAGO

State

Zip

60616

County

COOK

Specialty/Qualifier

Obstetrics and Gynecology

Ever Disciplined

LastModifiedDate

03/13/2015