MARCIA GRAHAM MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****43

License Status

INACTIVE

Business

Title

First Name

MARCIA

Last Name

GRAHAM

Business Name

MARCIA GRAHAM MD

Original Issue Date

05/15/2018

Effective Date

07/18/2023

Expiration Date

07/31/2026

City

SPRINGFIELD

State

Zip

65804

County

GREENE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/10/2024