MARTIN GRISSOM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036117985

License Status

NOT RENEWED

Business

First Name

MARTIN

Last Name

GRISSOM

Suffix

Business Name

MARTIN GRISSOM MD

Original Issue Date

04/02/2007

Effective Date

08/18/2020

Expiration Date

07/31/2023

City

PORTSMOUTH

State

Zip

63028

Ever Disciplined

LastModifiedDate

11/30/2023