AUDREY L GRANT MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036089132

License Status

INACTIVE

Business

First Name

AUDREY L

Last Name

GRANT

Suffix

Business Name

AUDREY L GRANT MD

Original Issue Date

07/25/1994

Effective Date

07/25/1994

Expiration Date

07/31/1999

City

FAIRFAX

State

Zip

22033

County

VIRGINIA

Ever Disciplined

LastModifiedDate

09/20/2006