WILLIAM GARY GRANTHAM MD - Medical Doctor License in New York | # 036042724

WILLIAM GARY GRANTHAM MD

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036042724

License Status

INACTIVE

Business

N

First Name

WILLIAM GARY

Last Name

GRANTHAM

Suffix

MD

Business Name

WILLIAM GARY GRANTHAM MD

Original Issue Date

08/08/1969

Effective Date

08/08/1969

Expiration Date

07/31/1987

State

NY

Ever Disciplined

N

LastModifiedDate

09/20/2006