SUSAN ELAINE GRAVES MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036094850

License Status

INACTIVE

Business

First Name

SUSAN ELAINE

Last Name

GRAVES

Suffix

Business Name

SUSAN ELAINE GRAVES MD

Original Issue Date

02/26/1997

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

SPRINGFIELD

State

Zip

65802

Ever Disciplined

LastModifiedDate

04/17/2008