GARY DOUGLAS GRAHAM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036058051

License Status

NOT RENEWED

Business

First Name

GARY DOUGLAS

Last Name

GRAHAM

Suffix

Business Name

GARY DOUGLAS GRAHAM MD

Original Issue Date

11/20/1978

Effective Date

11/20/1978

Expiration Date

07/01/1982

City

LIBERTYVILLE

State

Zip

60048

County

LAKE

Ever Disciplined

LastModifiedDate

09/20/2006