MILES H GRAIVIER MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

VISITING PHYSICIAN PERMIT

License Number

106000252

License Status

EXPIRED

Business

First Name

MILES

Middle

Last Name

GRAIVIER

Suffix

Business Name

MILES H GRAIVIER MD

Original Issue Date

08/30/2005

Effective Date

08/30/2005

Expiration Date

03/22/2006

City

ATLANTA

State

Zip

30350

County

GEORGIA

Ever Disciplined

LastModifiedDate

10/29/2009