MICKEY ANTHONY GRAPHIA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125072356

License Status

EXPIRED

Business

Title

First Name

MICKEY

Middle

ANTHONY

Last Name

GRAPHIA

Business Name

MICKEY ANTHONY GRAPHIA MD

Original Issue Date

06/26/2021

Effective Date

06/26/2021

Expiration Date

06/25/2023

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Specialty/Qualifier

Vascular Surgery Integrated

Ever Disciplined

LastModifiedDate

03/06/2024