PATRICK GRAVES MCENULTY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036161556

License Status

ACTIVE

Business

Title

First Name

PATRICK

Middle

GRAVES

Last Name

MCENULTY

Business Name

PATRICK GRAVES MCENULTY MD

Original Issue Date

07/20/2022

Effective Date

04/22/2023

Expiration Date

07/31/2026

City

CARBONDALE

State

Zip

62901

County

ADAMS

Ever Disciplined

LastModifiedDate

04/22/2023