THOMAS A GRAEFEN DPM Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****17

License Status

NOT RENEWED

Business

First Name

THOMAS

Middle

Last Name

GRAEFEN

Suffix

DPM

Business Name

THOMAS A GRAEFEN DPM

Original Issue Date

07/23/1986

Effective Date

01/19/2017

Expiration Date

01/31/2019

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/28/2019