DAVID JOSEPH GRINDEM DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****32

License Status

ACTIVE

Business

Title

First Name

DAVID

Middle

JOSEPH

Last Name

GRINDEM

Business Name

DAVID JOSEPH GRINDEM DO

Original Issue Date

08/14/2017

Effective Date

06/26/2023

Expiration Date

07/31/2026

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/26/2023