BRYDON J B GRANT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****48

License Status

NOT RENEWED

Business

Title

First Name

BRYDON

Middle

J B

Last Name

GRANT

Business Name

BRYDON J B GRANT MD

Original Issue Date

04/24/2007

Effective Date

04/24/2007

Expiration Date

07/31/2008

City

HILLSBORO

State

Zip

62049

County

MONTGOMERY

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011