ADA ELIZABETH GRAHAM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****18

License Status

NOT RENEWED

Business

Title

First Name

ADA

Middle

ELIZABETH

Last Name

GRAHAM

Business Name

ADA ELIZABETH GRAHAM MD

Original Issue Date

09/02/2021

Effective Date

09/02/2021

Expiration Date

07/31/2023

City

CHICAGO

State

Zip

60615

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023