PHILIP G GRANDINETTI Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****23

License Status

ACTIVE

Business

First Name

PHILIP G

Last Name

GRANDINETTI

Business Name

PHILIP G GRANDINETTI

Original Issue Date

12/03/1993

Effective Date

07/21/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60646

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/21/2023