NANCY VICTORIA GRAVES MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****90

License Status

NOT RENEWED

Business

Title

First Name

NANCY

Middle

VICTORIA

Last Name

GRAVES

Business Name

NANCY VICTORIA GRAVES MD

Original Issue Date

12/29/2009

Effective Date

12/29/2009

Expiration Date

07/31/2011

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011