MARY ALICE MCGRA REID MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****02

License Status

NOT RENEWED

Business

First Name

MARY ALICE MCGRA

Last Name

REID

Suffix

Business Name

MARY ALICE MCGRA REID MD

Original Issue Date

08/13/1992

Effective Date

08/13/1992

Expiration Date

07/31/1996

City

CROWN POINT

State

Zip

46307

County

INDIANA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006