MICHAEL BERNARD GRAHAM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****48

License Status

NOT RENEWED

Business

First Name

MICHAEL BERNARD

Last Name

GRAHAM

Suffix

Business Name

MICHAEL BERNARD GRAHAM MD

Original Issue Date

01/01/1997

Effective Date

07/28/2017

Expiration Date

09/30/2020

City

DEERFIELD

State

Zip

60015

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021