DEBORA M GRANDINETTI Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****68

License Status

ACTIVE

Business

First Name

DEBORA

Middle

Last Name

GRANDINETTI

Business Name

DEBORA M GRANDINETTI

Original Issue Date

08/26/2002

Effective Date

07/05/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60646

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/05/2023