GRANT ALLEN BULLOCK DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036171061

License Status

ACTIVE

Business

Title

First Name

GRANT

Middle

ALLEN

Last Name

BULLOCK

Business Name

GRANT ALLEN BULLOCK DO

Original Issue Date

07/10/2024

Effective Date

07/10/2024

Expiration Date

07/31/2026

City

LAS VEGAS

State

Zip

89148

County

CLARK

Ever Disciplined

LastModifiedDate

07/10/2024