THOMAS HOWARD GRANT 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

THOMAS HOWARD

Last Name

GRANT

Suffix

Business Name

THOMAS HOWARD GRANT DO

Original Issue Date

03/24/1994

Effective Date

04/26/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60611

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/26/2023