LAUREN VANDUYN GRAHAM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****00

License Status

NOT RENEWED

Business

Title

First Name

LAUREN

Middle

VANDUYN

Last Name

GRAHAM

Business Name

LAUREN VANDUYN GRAHAM MD

Original Issue Date

04/23/2015

Effective Date

04/23/2015

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017