EPHRIAM THOMAS GRIMES MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****24

License Status

ACTIVE

Business

Title

First Name

EPHRIAM

Middle

THOMAS

Last Name

GRIMES

Business Name

EPHRIAM THOMAS GRIMES MD

Original Issue Date

09/16/2011

Effective Date

07/29/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60617

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/29/2023