MATTHEW J GRAHAM Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****59

License Status

INOPERATIVE

Business

First Name

MATTHEW

Middle

Last Name

GRAHAM

Business Name

MATTHEW J GRAHAM

Original Issue Date

08/11/2014

Effective Date

03/03/2016

Expiration Date

03/01/2018

State

Ever Disciplined

LastModifiedDate

05/02/2018