ANNA WEAVER GRADY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****61

License Status

NOT RENEWED

Business

Title

First Name

ANNA

Middle

WEAVER

Last Name

GRADY

Business Name

ANNA WEAVER GRADY MD

Original Issue Date

04/20/2017

Effective Date

04/20/2017

Expiration Date

09/30/2020

City

PEORIA

State

Zip

61602

County

PEORIA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021