PATRICIA ANN GRAHAM Physician Assistant License verification

Business Entity

CANCELLED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****66

License Status

CANCELLED

Business

First Name

PATRICIA

Middle

ANN

Last Name

GRAHAM

Business Name

PATRICIA ANN GRAHAM

Original Issue Date

04/10/2001

Effective Date

11/17/2010

Expiration Date

03/01/2012

City

CHICAGO

State

Zip

60646

County

COOK

Ever Disciplined

LastModifiedDate

11/21/2017