TODD A GRAHAM MD - Medical Doctor License in Indiana | # 33*****43

TODD A GRAHAM MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****43

License Status

NOT RENEWED

Business

N

First Name

TODD A

Last Name

GRAHAM

Suffix

MD

Business Name

TODD A GRAHAM MD

Original Issue Date

11/20/1987

Effective Date

11/20/1987

Expiration Date

07/31/1993

State

IN

Controlled Substance Schedule

II III IV V

Ever Disciplined

N

LastModifiedDate

09/26/2006