MARY BETH GRAHAM MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****21

License Status

CANCELLED

Business

First Name

MARY BETH

Last Name

GRAHAM

Suffix

Business Name

MARY BETH GRAHAM MD

Original Issue Date

02/03/1997

Effective Date

02/03/1997

Expiration Date

07/31/2002

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006