PAUL MICHAEL LEE GRENELLE
License Number: PA9105871
Data As Of 7/7/2024
| Profession | Physician Assistant |
|---|---|
| License | PA9105871 |
| License Status | CLEAR/Active |
| Qualifications | Prescribing |
| License Expiration Date | 1/31/2026 |
| License Original Issue Date | 01/10/2011 |
| Address of Record | 301 MEMORIAL MEDICAL PARKWAY |
| FLORIDA HOSPITAL MEMORIAL MEDICAL CENTER | |
| DAYTONA BEACH, FL 32117 | |
| Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain) | No |
| Discipline on File | No |
| Public Complaint | No |
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