BRIAN GRANT KLOKEID MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036151680

License Status

NOT RENEWED

Business

Title

First Name

BRIAN

Middle

GRANT

Last Name

KLOKEID

Business Name

BRIAN GRANT KLOKEID MD

Original Issue Date

01/29/2020

Effective Date

01/29/2020

Expiration Date

09/30/2020

City

NEW YORK

State

Zip

10001

County

NEW YORK

Ever Disciplined

LastModifiedDate

01/14/2021