GRANT BRIAN ETNYRE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****32

License Status

NOT RENEWED

Business

Title

First Name

GRANT

Middle

BRIAN

Last Name

ETNYRE

Business Name

GRANT BRIAN ETNYRE MD

Original Issue Date

11/13/1997

Effective Date

11/13/1997

Expiration Date

07/31/1999

City

GENEVA

State

Zip

60134

County

KANE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2017