WILLIAM MELVIN GRANT MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****79

NOT RENEWED

N

WILLIAM MELVIN

GRANT

MD

WILLIAM MELVIN GRANT MD

09/24/1990

09/24/1990

07/31/1996

STREATOR

IL

61364

LA SALLE

II III IV V

N

09/26/2006