ANDRE THOMAS GRAVES DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125057021

License Status

EXPIRED

Business

First Name

ANDRE

Middle

THOMAS

Last Name

GRAVES

Suffix

Business Name

ANDRE THOMAS GRAVES DO

Original Issue Date

07/01/2012

Effective Date

07/01/2012

Expiration Date

06/30/2014

City

OLYMPIA FIELDS

State

Zip

60461

County

COOK

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

03/13/2015