RONALD MARK GRADY MD 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

RONALD

Middle

MARK

Last Name

GRADY

Suffix

Business Name

RONALD MARK GRADY MD

Original Issue Date

01/18/2005

Effective Date

05/05/2023

Expiration Date

07/31/2026

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/05/2023