DANIEL WESLEY GRISHAM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036058210

License Status

NOT RENEWED

Business

First Name

DANIEL WESLEY

Last Name

GRISHAM

Suffix

Business Name

DANIEL WESLEY GRISHAM MD

Original Issue Date

12/19/1978

Effective Date

12/19/1978

Expiration Date

07/01/1982

City

ANDERSON

State

Zip

29621

County

SOUTH CAROLINA

Ever Disciplined

LastModifiedDate

03/24/2007

Case Number

1985000588

Action

Revocation

Discipline Start Date

10/16/1985