MARY BETH GRAHAM MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036094712

License Status

INACTIVE

Business

First Name

MARY BETH

Last Name

GRAHAM

Suffix

Business Name

MARY BETH GRAHAM MD

Original Issue Date

01/27/1997

Effective Date

01/27/1997

Expiration Date

07/31/2002

City

MILWAUKEE

State

Zip

53226

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/09/2006