MERVIN JASPER GRIFFIN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****77

License Status

ACTIVE

Business

Title

First Name

MERVIN

Middle

JASPER

Last Name

GRIFFIN

Business Name

MERVIN JASPER GRIFFIN MD

Original Issue Date

08/02/2022

Effective Date

06/28/2023

Expiration Date

07/31/2026

City

CARBONDALE

State

Zip

62901

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/28/2023