DIANNA GRANT 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

DIANNA

Last Name

GRANT

Suffix

Business Name

DIANNA GRANT MD

Original Issue Date

07/14/1981

Effective Date

06/26/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60617

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020