NANCY VICTORIA GRAVES MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125049315

License Status

EXPIRED

Business

Title

First Name

NANCY

Middle

VICTORIA

Last Name

GRAVES

Business Name

NANCY VICTORIA GRAVES MD

Original Issue Date

06/25/2005

Effective Date

06/25/2005

Expiration Date

06/24/2008

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Ever Disciplined

LastModifiedDate

06/26/2008