JOSEPH LAWRENCE GRAHAM DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125072853

License Status

CANCELLED

Business

Title

First Name

JOSEPH

Middle

LAWRENCE

Last Name

GRAHAM

Business Name

JOSEPH LAWRENCE GRAHAM DO

Original Issue Date

07/01/2018

Effective Date

07/01/2018

Expiration Date

06/30/2021

City

GLEN ELLYN

State

Zip

60137

County

DUPAGE

Specialty/Qualifier

Physical Medicine and Rehabilitation

Ever Disciplined

LastModifiedDate

06/05/2018