SIMEON JACOB ELI GRATER MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****65

License Status

ACTIVE

Business

First Name

SIMEON

Middle

JACOB ELI

Last Name

GRATER

Suffix

Business Name

SIMEON JACOB ELI GRATER MD

Original Issue Date

01/01/1997

Effective Date

05/13/2023

Expiration Date

07/31/2026

City

CARBONDALE

State

Zip

62903

County

JACKSON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/13/2023