THEODORE GREVAS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****31

License Status

NOT RENEWED

Business

First Name

THEODORE

Last Name

GREVAS

Suffix

Business Name

THEODORE GREVAS MD

Original Issue Date

01/01/1997

Expiration Date

07/31/2002

City

ROCK ISLAND

State

Zip

61201

County

ROCK ISLAND

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006