GREGORY H BRANHAM MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****49

License Status

CANCELLED

Business

First Name

GREGORY H

Last Name

BRANHAM

Suffix

Business Name

GREGORY H BRANHAM MD

Original Issue Date

05/31/1991

Effective Date

05/31/1991

Expiration Date

07/31/2005

City

RED BUD

State

Zip

62278

County

MONROE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006