COLLEEN C GRACE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036118432

License Status

NOT RENEWED

Business

First Name

COLLEEN

Middle

Last Name

GRACE

Suffix

Business Name

COLLEEN C GRACE MD

Original Issue Date

05/17/2007

Effective Date

05/17/2007

Expiration Date

07/31/2008

City

MADISON

State

Zip

53705

Ever Disciplined

LastModifiedDate

11/06/2008