ANTONIO MEDARDO GRANDA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****76

License Status

ACTIVE

Business

Title

First Name

ANTONIO

Middle

MEDARDO

Last Name

GRANDA

Business Name

ANTONIO MEDARDO GRANDA MD

Original Issue Date

06/16/2021

Effective Date

10/06/2023

Expiration Date

07/31/2026

City

HENDERSONVILLE

State

Zip

37075

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/06/2023