JENNIFER LYNN GRANA DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****27

License Status

NOT RENEWED

Business

First Name

JENNIFER

Middle

LYNN

Last Name

GRANA

Suffix

Business Name

JENNIFER LYNN GRANA DO

Original Issue Date

02/23/2011

Effective Date

05/23/2011

Expiration Date

07/31/2014

City

OFALLON

State

Zip

62269

County

SAINT CLAIR

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014