SCOTT R GRAHAM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036067312

License Status

NOT RENEWED

Business

First Name

SCOTT R

Last Name

GRAHAM

Suffix

Business Name

SCOTT R GRAHAM MD

Original Issue Date

08/17/1983

Effective Date

08/17/1983

Expiration Date

07/31/1990

City

FLORA

State

Zip

62839

County

CLAY

Ever Disciplined

LastModifiedDate

09/20/2006