TERRENCE MICHAEL GRAHAM DPM Podiatrist License verification

Business Entity

ACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****80

License Status

ACTIVE

Business

Title

DPM

First Name

TERRENCE MICHAEL

Last Name

GRAHAM

Business Name

TERRENCE MICHAEL GRAHAM DPM

Original Issue Date

01/01/1998

Effective Date

01/21/2025

Expiration Date

01/31/2027

City

DECATUR

State

Zip

62521

County

MACON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/21/2025