EGBERT FITZSTEPHEN GRINAGE Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036178063

License Status

ACTIVE

Business

First Name

EGBERT

Middle

FITZSTEPHEN

Last Name

GRINAGE

Business Name

EGBERT FITZSTEPHEN GRINAGE

Original Issue Date

11/24/2025

Effective Date

11/24/2025

Expiration Date

07/31/2026

City

KLAMATH FALLS

State

Zip

97601

Ever Disciplined

LastModifiedDate

11/27/2025