JEFFREY DALE GRILLS MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****81

License Status

CANCELLED

Business

First Name

JEFFREY DALE

Last Name

GRILLS

Suffix

Business Name

JEFFREY DALE GRILLS MD

Original Issue Date

08/05/1993

Effective Date

08/05/1993

Expiration Date

07/31/1999

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006