ELWYN MANCEL GRIMES MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****92

License Status

NOT RENEWED

Business

First Name

ELWYN

Middle

MANCEL

Last Name

GRIMES

Suffix

Business Name

ELWYN MANCEL GRIMES MD

Original Issue Date

01/26/2000

Effective Date

06/22/2011

Expiration Date

07/31/2014

City

RIVER FOREST

State

Zip

60305

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014