LOUIS KIENZLER GRAHAM MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036142743

License Status

ACTIVE

Business

First Name

LOUIS

Middle

KIENZLER

Last Name

GRAHAM

Suffix

Business Name

LOUIS KIENZLER GRAHAM MD

Original Issue Date

03/22/2017

Effective Date

06/21/2023

Expiration Date

07/31/2026

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

06/21/2023