JOHN R GRAHAM Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****56

License Status

NOT RENEWED

Business

First Name

JOHN R

Last Name

GRAHAM

Business Name

JOHN R GRAHAM

Original Issue Date

01/01/1998

Effective Date

11/21/2006

Expiration Date

01/31/2009

City

DECATUR

State

Zip

62526

County

MACON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/17/2009