LOU GRAHAM Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****09

License Status

NOT RENEWED

Business

First Name

LOU

Last Name

GRAHAM

Business Name

LOU GRAHAM

Original Issue Date

11/09/1983

Effective Date

07/11/2012

Expiration Date

09/30/2015

City

CHICAGO

State

Zip

60637

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016