MIGUEL H GRANGER MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****37

License Status

ACTIVE

Business

First Name

MIGUEL

Middle

Last Name

GRANGER

Suffix

Business Name

MIGUEL H GRANGER MD

Original Issue Date

08/14/2000

Effective Date

06/28/2023

Expiration Date

07/31/2026

City

EAST ST LOUIS

State

Zip

62205

County

SAINT CLAIR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/28/2023