WILLIAM GARY GRANTHAM MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036042724

License Status

INACTIVE

Business

First Name

WILLIAM GARY

Last Name

GRANTHAM

Suffix

Business Name

WILLIAM GARY GRANTHAM MD

Original Issue Date

08/08/1969

Effective Date

08/08/1969

Expiration Date

07/31/1987

City

BUFFALO

State

Zip

14209

County

NEW YORK

Ever Disciplined

LastModifiedDate

09/20/2006