MICHAEL GRUNDEL ISON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036113845

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

GRUNDEL

Last Name

ISON

Suffix

Business Name

MICHAEL GRUNDEL ISON MD

Original Issue Date

06/08/2005

Effective Date

05/15/2020

Expiration Date

07/31/2023

City

DERWOOD

State

Zip

20855

Ever Disciplined

LastModifiedDate

11/30/2023