TODD LEE GRACEN MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036069556

License Status

INACTIVE

Business

First Name

TODD LEE

Last Name

GRACEN

Suffix

Business Name

TODD LEE GRACEN MD

Original Issue Date

09/25/1984

Effective Date

04/11/2011

Expiration Date

07/31/2014

City

TAMPA

State

Zip

33606

County

FLORIDA

Ever Disciplined

LastModifiedDate

06/08/2015