TERRENCE MICHAEL GRAHAM DPM Podiatrist License verification

Business Entity

ACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016003032

License Status

ACTIVE

Business

Title

DPM

First Name

TERRENCE MICHAEL

Last Name

GRAHAM

Business Name

TERRENCE MICHAEL GRAHAM DPM

Original Issue Date

06/28/1978

Effective Date

01/21/2025

Expiration Date

01/31/2027

City

DECATUR

State

Zip

62521

County

MACON

Ever Disciplined

LastModifiedDate

02/26/2025