PHILLIP MATTHEW GRANDSTAFF MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036133494

License Status

ACTIVE

Business

Title

First Name

PHILLIP

Middle

MATTHEW

Last Name

GRANDSTAFF

Business Name

PHILLIP MATTHEW GRANDSTAFF MD

Original Issue Date

07/09/2013

Effective Date

07/28/2023

Expiration Date

07/31/2026

City

LONGVIEW

State

Zip

75605

County

TEXAS

Ever Disciplined

LastModifiedDate

07/28/2023