LOUIS GRAHAM Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****08

License Status

NOT RENEWED

Business

First Name

LOUIS

Last Name

GRAHAM

Business Name

LOUIS GRAHAM

Original Issue Date

05/25/2022

Effective Date

05/25/2022

Expiration Date

09/30/2024

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025