JESSIE GRANT HOUSTON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****85

License Status

NOT RENEWED

Business

First Name

JESSIE GRANT

Last Name

HOUSTON

Suffix

Business Name

JESSIE GRANT HOUSTON MD

Original Issue Date

01/01/1997

Effective Date

07/25/2014

Expiration Date

07/31/2017

City

CHAMPAIGN

State

Zip

61821

County

CHAMPAIGN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020