GRANT A STOVER MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****52

License Status

ACTIVE

Business

First Name

GRANT A

Last Name

STOVER

Suffix

Business Name

GRANT A STOVER MD

Original Issue Date

10/02/1990

Effective Date

04/08/2023

Expiration Date

07/31/2026

City

FOX LAKE

State

Zip

60020

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/08/2023