IAN MICHAEL GRANT MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****20

License Status

ACTIVE

Business

First Name

IAN

Middle

MICHAEL

Last Name

GRANT

Suffix

Business Name

IAN MICHAEL GRANT MD

Original Issue Date

03/04/2016

Effective Date

04/25/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60613

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/25/2023