RAFAEL G GRAU MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****82

License Status

NOT RENEWED

Business

First Name

RAFAEL G

Last Name

GRAU

Suffix

Business Name

RAFAEL G GRAU MD

Original Issue Date

08/13/1982

Effective Date

08/13/1982

Expiration Date

07/31/1987

City

PEORIA

State

Zip

61656

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006