MARK WILLIAM GRAVES Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036145917

License Status

ACTIVE

Business

First Name

MARK

Middle

WILLIAM

Last Name

GRAVES

Business Name

MARK WILLIAM GRAVES

Original Issue Date

05/01/2018

Effective Date

04/23/2023

Expiration Date

07/31/2026

City

SPRINGFIELD

State

Zip

62711

County

SANGAMON

Ever Disciplined

LastModifiedDate

04/23/2023