MALLORY JANAY GROVE MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036159527

License Status

INACTIVE

Business

Title

First Name

MALLORY

Middle

JANAY

Last Name

GROVE

Business Name

MALLORY JANAY GROVE MD

Original Issue Date

02/22/2022

Effective Date

02/22/2022

Expiration Date

07/31/2023

City

SEATTLE

State

Zip

98118

Ever Disciplined

LastModifiedDate

02/22/2022