BRENT A GRAHAM MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125025521

License Status

EXPIRED

Business

First Name

BRENT A

Last Name

GRAHAM

Suffix

Business Name

BRENT A GRAHAM MD

Original Issue Date

06/18/1990

Effective Date

06/18/1990

Expiration Date

06/22/1993

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

09/22/2006