DENNIS GRANT EGNATZ MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036060684

License Status

INACTIVE

Business

First Name

DENNIS GRANT

Last Name

EGNATZ

Suffix

Business Name

DENNIS GRANT EGNATZ MD

Original Issue Date

07/25/1980

Effective Date

07/25/1980

Expiration Date

07/31/2002

City

WINSTON-SALEM

State

Zip

27106

County

NORTH CAROLINA

Ever Disciplined

LastModifiedDate

11/18/2014