DAVID MARK GRAHAM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036122894

License Status

NOT RENEWED

Business

First Name

DAVID

Middle

MARK

Last Name

GRAHAM

Suffix

Business Name

DAVID MARK GRAHAM MD

Original Issue Date

03/23/2009

Effective Date

04/23/2014

Expiration Date

07/31/2017

City

GRAND RAPIDS

State

Zip

49546

County

MICHIGAN

Ever Disciplined

LastModifiedDate

11/01/2017