PETER EDGAR GRAHAM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036124296

License Status

NOT RENEWED

Business

First Name

PETER

Middle

EDGAR

Last Name

GRAHAM

Suffix

Business Name

PETER EDGAR GRAHAM MD

Original Issue Date

08/28/2009

Effective Date

05/24/2011

Expiration Date

07/31/2014

City

CARBONDALE

State

Zip

62901

County

JACKSON

Ever Disciplined

LastModifiedDate

11/17/2014