BRENT A GRAHAM MD - Medical Doctor License in Oregon | # 036086200

BRENT A GRAHAM MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036086200

License Status

NOT RENEWED

Business

N

First Name

BRENT A

Last Name

GRAHAM

Suffix

MD

Business Name

BRENT A GRAHAM MD

Original Issue Date

05/18/1993

Effective Date

05/18/1993

Expiration Date

07/31/2005

State

OR

Ever Disciplined

N

LastModifiedDate

10/09/2006