IVAN CECIL GRAHAM DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****79

License Status

ACTIVE

Business

Title

DDS

First Name

IVAN

Middle

CECIL

Last Name

GRAHAM

Business Name

IVAN CECIL GRAHAM DDS

Original Issue Date

08/11/2015

Effective Date

10/07/2025

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60601

County

CHAMPAIGN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/20/2025