JIHAN ALEXIS GRANT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****16

License Status

NOT RENEWED

Business

Title

First Name

JIHAN

Middle

ALEXIS

Last Name

GRANT

Business Name

JIHAN ALEXIS GRANT MD

Original Issue Date

10/24/2017

Effective Date

10/24/2017

Expiration Date

09/30/2020

City

CARBONDALE

State

Zip

62902

County

JACKSON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021