TIMOTHY J GRAHAM Podiatrist License verification

Business Entity

ACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****79

License Status

ACTIVE

Business

First Name

TIMOTHY J

Last Name

GRAHAM

Business Name

TIMOTHY J GRAHAM

Original Issue Date

08/23/1984

Effective Date

01/28/2025

Expiration Date

01/31/2027

City

TAYLORVILLE

State

Zip

62568

County

CHRISTIAN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/16/2025