JOHN GRAVELLE MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130001555

License Status

EXPIRED

Business

Title

First Name

JOHN

Last Name

GRAVELLE

Business Name

JOHN GRAVELLE MD

Original Issue Date

08/14/2023

Effective Date

08/14/2023

Expiration Date

09/13/2023

City

CHICAGO

State

Zip

60637

Specialty/Qualifier

Family Planning

Ever Disciplined

LastModifiedDate

03/06/2024