CHARLES WESLEY GRAHAM III MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036055950

License Status

NOT RENEWED

Business

First Name

CHARLES WESLEY

Last Name

GRAHAM III

Suffix

Business Name

CHARLES WESLEY GRAHAM III MD

Original Issue Date

10/19/1977

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

SAN JUAN CAPISTRANO

State

Zip

92675

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

11/06/2008