MARK E MCGRANAHAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****01

License Status

ACTIVE

Business

First Name

MARK

Middle

Last Name

MCGRANAHAN

Suffix

Business Name

MARK E MCGRANAHAN MD

Original Issue Date

05/19/2004

Effective Date

07/26/2023

Expiration Date

07/31/2026

City

CASEYVILLE

State

Zip

62232

County

SAINT CLAIR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/26/2023