MARK D GRANT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****87

License Status

NOT RENEWED

Business

First Name

MARK D

Last Name

GRANT

Suffix

Business Name

MARK D GRANT MD

Original Issue Date

10/14/1987

Effective Date

07/11/2017

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60601

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021