GARY R GRIGLIONE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****28

License Status

NOT RENEWED

Business

First Name

GARY R

Last Name

GRIGLIONE

Suffix

Business Name

GARY R GRIGLIONE MD

Original Issue Date

07/09/1987

Effective Date

08/24/2020

Expiration Date

07/31/2023

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023