JORGE LUIS GRANADILLO DE LUQUE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036164466

License Status

ACTIVE

Business

Title

First Name

JORGE LUIS

Last Name

GRANADILLO DE LUQUE

Business Name

JORGE LUIS GRANADILLO DE LUQUE MD

Original Issue Date

04/20/2023

Effective Date

04/20/2023

Expiration Date

07/31/2026

City

SAINT LOUIS

State

Zip

63110

Ever Disciplined

LastModifiedDate

07/26/2022