CLYDE MICHAEL GRADY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****76

License Status

NOT RENEWED

Business

Title

First Name

CLYDE MICHAEL

Last Name

GRADY

Business Name

CLYDE MICHAEL GRADY MD

Original Issue Date

02/03/2016

Effective Date

02/03/2016

Expiration Date

07/31/2017

City

GALVA

State

Zip

61434

County

HENRY

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020