ALAN W GRAVETT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036075544

License Status

NOT RENEWED

Business

First Name

ALAN

Middle

Last Name

GRAVETT

Suffix

Business Name

ALAN W GRAVETT MD

Original Issue Date

07/25/1987

Effective Date

07/06/2011

Expiration Date

07/31/2014

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Ever Disciplined

LastModifiedDate

11/17/2014