JESSICA GRAVES MD Medical Doctor License verification

Business Entity

INOPERATIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****03

License Status

INOPERATIVE

Business

Title

First Name

JESSICA

Last Name

GRAVES

Business Name

JESSICA GRAVES MD

Original Issue Date

04/04/2023

Effective Date

04/04/2023

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61605

County

PEORIA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/04/2023