THANDIWE C GRAY Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036116459

License Status

NOT RENEWED

Business

First Name

THANDIWE

Middle

Last Name

GRAY

Business Name

THANDIWE C GRAY

Original Issue Date

07/12/2006

Effective Date

04/17/2008

Expiration Date

07/31/2011

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

11/14/2011