PETER J GRANT MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****12

License Status

ACTIVE

Business

Title

First Name

PETER

Middle

Last Name

GRANT

Business Name

PETER J GRANT MD

Original Issue Date

10/07/2003

Effective Date

07/07/2023

Expiration Date

07/31/2026

City

OAK PARK

State

Zip

60304

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/07/2023