ALAN W GRAVETT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****85

License Status

NOT RENEWED

Business

First Name

ALAN

Middle

Last Name

GRAVETT

Suffix

Business Name

ALAN W GRAVETT MD

Original Issue Date

01/11/1991

Effective Date

01/11/1991

Expiration Date

07/31/1993

City

CLINTON

State

Zip

61727

County

DE WITT

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011