GRADY HARRISON HEDSTROM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036144132

License Status

NOT RENEWED

Business

Title

First Name

GRADY

Middle

HARRISON

Last Name

HEDSTROM

Business Name

GRADY HARRISON HEDSTROM MD

Original Issue Date

08/18/2017

Effective Date

02/16/2021

Expiration Date

07/31/2023

City

PORTLAND

State

Zip

97212

Ever Disciplined

LastModifiedDate

11/30/2023