QUINTESIA LAQUAWN GRANT MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****03

License Status

ACTIVE

Business

Title

First Name

QUINTESIA

Middle

LAQUAWN

Last Name

GRANT

Business Name

QUINTESIA LAQUAWN GRANT MD

Original Issue Date

05/24/2023

Effective Date

05/24/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/24/2023