ANDREA S GRANZOTTI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****84

License Status

NOT RENEWED

Business

First Name

ANDREA S

Last Name

GRANZOTTI

Suffix

Business Name

ANDREA S GRANZOTTI MD

Original Issue Date

07/06/1993

Effective Date

05/05/2020

Expiration Date

07/31/2023

City

DECATUR

State

Zip

62526

County

MACON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023