TERRY S GRAVES MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036052070

License Status

NOT RENEWED

Business

First Name

TERRY S

Last Name

GRAVES

Suffix

Business Name

TERRY S GRAVES MD

Original Issue Date

11/14/1975

Effective Date

11/14/1975

City

CHICAGO

State

Zip

60640

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006