PAUL DENNIS GRANOFF MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****44

License Status

CANCELLED

Business

Title

First Name

PAUL

Middle

DENNIS

Last Name

GRANOFF

Business Name

PAUL DENNIS GRANOFF MD

Original Issue Date

06/20/1985

Effective Date

06/20/1985

Expiration Date

07/31/2008

City

MOOSEHEART

State

Zip

60539

County

KANE

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

04/05/2020