CHARLES D GRAHAM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****92

License Status

NOT RENEWED

Business

First Name

CHARLES D

Last Name

GRAHAM

Suffix

Business Name

CHARLES D GRAHAM MD

Original Issue Date

07/23/1992

Effective Date

07/23/1992

Expiration Date

07/31/1996

City

DANVILLE

State

Zip

61832

County

VERMILION

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006