SCOTT R GRAHAM MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125014302

License Status

EXPIRED

Business

First Name

SCOTT R

Last Name

GRAHAM

Suffix

Business Name

SCOTT R GRAHAM MD

Original Issue Date

06/17/1982

Effective Date

06/17/1982

Expiration Date

06/28/1984

City

SPRINGFIELD

State

Zip

62708

County

SANGAMON

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006