TERESA ELIZABETH GRANT MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****67

License Status

ACTIVE

Business

First Name

TERESA

Middle

ELIZABETH

Last Name

GRANT

Suffix

Business Name

TERESA ELIZABETH GRANT MD

Original Issue Date

06/22/2004

Effective Date

07/30/2023

Expiration Date

07/31/2026

City

SANDWICH

State

Zip

60548

County

DEKALB

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/30/2023