GRANT WATSON GERDELMAN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

VISITING RESIDENT

License Number

188000576

License Status

CANCELLED

Business

Title

First Name

GRANT

Middle

WATSON

Last Name

GERDELMAN

Business Name

GRANT WATSON GERDELMAN MD

Original Issue Date

02/01/2014

Effective Date

02/01/2014

Expiration Date

07/31/2014

City

ALTON

State

Zip

62002

County

MADISON

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

03/13/2015