THOMAS AARON GRAHAM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****64

License Status

NOT RENEWED

Business

Title

First Name

THOMAS

Middle

AARON

Last Name

GRAHAM

Business Name

THOMAS AARON GRAHAM MD

Original Issue Date

11/25/2013

Effective Date

06/23/2020

Expiration Date

07/31/2023

City

URBANA

State

Zip

61802

County

CHAMPAIGN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023