DAVID WILLIAM GRAHAM JR MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125038823

License Status

CANCELLED

Business

First Name

DAVID

Middle

WILLIAM

Last Name

GRAHAM

Suffix

JR MD

Business Name

DAVID WILLIAM GRAHAM JR MD

Original Issue Date

08/13/1998

Effective Date

08/13/1998

Expiration Date

08/12/2001

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Radiation Oncology

Ever Disciplined

LastModifiedDate

09/22/2006