RAYNA E GRAVATT Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036117592

License Status

NOT RENEWED

Business

First Name

RAYNA

Middle

Last Name

GRAVATT

Business Name

RAYNA E GRAVATT

Original Issue Date

02/05/2007

Effective Date

02/05/2007

Expiration Date

07/31/2008

City

CHEYENNE

State

Zip

82001

Ever Disciplined

LastModifiedDate

11/06/2008