ROBERT DAVID GRAHAM MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125064974

License Status

EXPIRED

Business

Title

First Name

ROBERT

Middle

DAVID

Last Name

GRAHAM

Business Name

ROBERT DAVID GRAHAM MD

Original Issue Date

06/26/2017

Effective Date

06/26/2017

Expiration Date

06/25/2019

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Specialty/Qualifier

Orthopaedic Surgery

Ever Disciplined

LastModifiedDate

10/02/2019