ERIN NICHOLE GRINHAUG MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****99

License Status

NOT RENEWED

Business

Title

First Name

ERIN

Middle

NICHOLE

Last Name

GRINHAUG

Business Name

ERIN NICHOLE GRINHAUG MD

Original Issue Date

08/08/2011

Effective Date

08/08/2011

Expiration Date

07/31/2014

City

PEORIA

State

Zip

61603

County

PEORIA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014