JOHN DALLAS GRIZZARD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036119822

License Status

NOT RENEWED

Business

First Name

JOHN

Middle

DALLAS

Last Name

GRIZZARD

Suffix

Business Name

JOHN DALLAS GRIZZARD MD

Original Issue Date

12/11/2007

Effective Date

12/11/2007

Expiration Date

07/31/2008

City

BEACHWOOD

State

Zip

44122

Ever Disciplined

LastModifiedDate

11/06/2008