DONALD C GRAVES Podiatrist License verification

Business Entity

CANCELLED

License Type

Podiatrist

Description

TEMPORARY PODIATRIC PHYSICIAN

License Number

135000756

License Status

CANCELLED

Business

First Name

DONALD

Middle

Last Name

GRAVES

Business Name

DONALD C GRAVES

Original Issue Date

07/07/2011

Effective Date

07/01/2011

Expiration Date

06/30/2014

City

BOURBONNAIS

State

Zip

60914

County

KANKAKEE

Ever Disciplined

LastModifiedDate

03/13/2015