MARY VOGELSANG GRAHAM MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****71

License Status

ACTIVE

Business

Title

First Name

MARY

Middle

VOGELSANG

Last Name

GRAHAM

Business Name

MARY VOGELSANG GRAHAM MD

Original Issue Date

06/17/2019

Effective Date

06/27/2023

Expiration Date

07/31/2026

City

SAINT LOUIS

State

Zip

63128

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/27/2023