MARIA T GRANZOTTI Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****91

License Status

ACTIVE

Business

First Name

MARIA T

Last Name

GRANZOTTI

Business Name

MARIA T GRANZOTTI

Original Issue Date

08/27/1991

Effective Date

05/17/2023

Expiration Date

07/31/2026

City

DECATUR

State

Zip

62521

County

MACON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/17/2023