ANTONIO ANDRE GRAHAM DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036163417

License Status

NOT RENEWED

Business

Title

First Name

ANTONIO

Middle

ANDRE

Last Name

GRAHAM

Business Name

ANTONIO ANDRE GRAHAM DO

Original Issue Date

01/17/2023

Effective Date

01/17/2023

Expiration Date

07/31/2023

City

ATLANTA

State

Zip

30345

County

DEKALB

Ever Disciplined

LastModifiedDate

11/30/2023