CHANTAL T GIROD MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****11

License Status

ACTIVE

Business

First Name

CHANTAL T

Last Name

GIROD

Suffix

Business Name

CHANTAL T GIROD MD

Original Issue Date

11/30/1990

Effective Date

04/15/2023

Expiration Date

07/31/2026

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/15/2023