SAMUEL JOSEPH GRANIERI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****57

License Status

NOT RENEWED

Business

First Name

SAMUEL JOSEPH

Last Name

GRANIERI

Suffix

Business Name

SAMUEL JOSEPH GRANIERI MD

Original Issue Date

07/20/1993

Effective Date

07/20/1993

Expiration Date

07/31/1996

City

BRACEVILLE

State

Zip

60407

County

GRUNDY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020