GREGORY S GRANZEIER DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****99

License Status

ACTIVE

Business

First Name

GREGORY S

Last Name

GRANZEIER

Suffix

Business Name

GREGORY S GRANZEIER DO

Original Issue Date

09/11/1996

Effective Date

06/03/2023

Expiration Date

07/31/2026

City

ROSCOE

State

Zip

61073

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/03/2023