REBECCA G GRAHAM Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130000327

License Status

EXPIRED

Business

First Name

REBECCA

Middle

Last Name

GRAHAM

Business Name

REBECCA G GRAHAM

Original Issue Date

05/01/1996

Effective Date

05/01/1996

Expiration Date

06/30/1997

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Specialty/Qualifier

Obstetrics & Gynecology

Ever Disciplined

LastModifiedDate

09/25/2006