GRAHAM ROBERT JOHNSON MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125063376

License Status

EXPIRED

Business

Title

First Name

GRAHAM

Middle

ROBERT

Last Name

JOHNSON

Business Name

GRAHAM ROBERT JOHNSON MD

Original Issue Date

07/01/2013

Effective Date

07/01/2013

Expiration Date

06/30/2014

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

03/13/2015