ANNIE DAWN MARIA GRAHAM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****23

License Status

NOT RENEWED

Business

First Name

ANNIE DAWN MARIA

Last Name

GRAHAM

Suffix

Business Name

ANNIE DAWN MARIA GRAHAM MD

Original Issue Date

08/18/1981

Effective Date

08/18/1981

Expiration Date

07/31/1984

City

CHICAGO

State

Zip

60611

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006