LATAI GRANT BROWN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****69

License Status

NOT RENEWED

Business

Title

First Name

LATAI

Last Name

GRANT BROWN

Business Name

LATAI GRANT BROWN MD

Original Issue Date

01/27/2020

Effective Date

01/27/2020

Expiration Date

09/30/2020

City

WAUKEGAN

State

Zip

60085

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021