WILFREDO A GRANADA MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036048709

License Status

INACTIVE

Business

First Name

WILFREDO A

Last Name

GRANADA

Suffix

Business Name

WILFREDO A GRANADA MD

Original Issue Date

02/05/1974

Effective Date

04/15/2014

Expiration Date

07/31/2017

City

BRISTOL

State

Zip

53104

Ever Disciplined

LastModifiedDate

09/28/2021