BRENT A GRAHAM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036086200

License Status

NOT RENEWED

Business

First Name

BRENT A

Last Name

GRAHAM

Suffix

Business Name

BRENT A GRAHAM MD

Original Issue Date

05/18/1993

Effective Date

05/18/1993

Expiration Date

07/31/2005

City

PORTLAND

State

Zip

97229

County

OREGON

Ever Disciplined

LastModifiedDate

10/09/2006