DEAN A GRAVLIN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036057930

License Status

ACTIVE

Business

First Name

DEAN A

Last Name

GRAVLIN

Suffix

Business Name

DEAN A GRAVLIN MD

Original Issue Date

10/23/1978

Effective Date

06/03/2023

Expiration Date

07/31/2026

City

MORTON

State

Zip

61550

County

TAZEWELL

Ever Disciplined

LastModifiedDate

06/03/2023