RICHARD ROLAND GRAYSON 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

First Name

RICHARD ROLAND

Last Name

GRAYSON

Suffix

Business Name

RICHARD ROLAND GRAYSON MD

Original Issue Date

01/01/1997

Effective Date

09/29/2008

Expiration Date

07/31/2011

City

BATAVIA

State

Zip

60510

County

KANE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011