MARCIA K GRAHAM (Credential# 1682766) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is August 20, 1985. The license expiration date date is June 30, 1989. The license status is INACTIVE.
MARCIA K GRAHAM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.026740. The credential type is physician/surgeon. The effective date is August 20, 1985. The expiration date is June 30, 1989. The business address is 1321 W Maplewood St, Springfield, MO 65807. The current status is inactive.
| Licensee Name | MARCIA K GRAHAM |
| Credential ID | 1682766 |
| Credential Number | 1.026740 |
| Credential Type | Physician/Surgeon |
| Business Address |
1321 W Maplewood St Springfield MO 65807 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1985-08-20 |
| Effective Date | 1985-08-20 |
| Expiration Date | 1989-06-30 |
| Refresh Date | 2019-08-12 |
| Street Address | 1321 W MAPLEWOOD ST |
| City | SPRINGFIELD |
| State | MO |
| Zip Code | 65807 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Trevor Michael Dillon | 2310 W. Woodbury St, Springfield, MO 65807 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Sara V Propst | 4042 S. Hillcrest Ave., Springfield, MO 65807 | Advanced Practice Registered Nurse | ~ |
| Ryan S Jones | 2225w Chesterfield Blvd Ste 200, Springfield, MO 65807 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Shelby Bailey | 2848 West Maplewood St, Springfield, MO 65807 | Registered Nurse | 2018-08-30 ~ 2019-01-31 |
| Christopher Schultz | 1044 W Mcgee Street, Springfield, MO 65807 | Registered Nurse | 2017-11-09 ~ 2018-11-30 |
| Keith & Karen Jaspers Charitable Foundation | 3844 South Avenue, Springfield, MO 65807 | Public Charity | ~ |
| Jennifer N Boaz | 3340 W. Montclair, Springfield, MO 65807 | Registered Nurse | 2009-03-16 ~ 2009-09-30 |
| Scott D Brown | 3660 S. Cox, Springfield, MO 65807 | Radiographer | 2004-05-27 ~ 2005-03-31 |
| Valerie L Brattin | 808 West Village, Springfield, MO 65807 | Registered Nurse | 1997-04-03 ~ 1997-12-31 |
| Rhett A Stephens | 1775 East Lakewood, Springfield, MO 65807 | Registered Nurse | 2000-09-19 ~ 2001-09-30 |
| Find all Licenses in zip 65807 | |||
| City | SPRINGFIELD |
| Zip Code | 65807 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + SPRINGFIELD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Marcia M Walker Md | 147 Knapps Hwy, Fairfield, CT 06825 | Physician/surgeon | 2011-05-23 ~ 2012-05-31 |
| Marcia F Satlow | 96 Flintlock Rd, Watertown, CT 06795 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Marcia S Naveh | 321 W 84th St. #1, New York, NY 10024 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Marcia Wills | One Cranberry Hill, Lexington, MA 02421 | Physician/surgeon | 2017-07-05 ~ 2018-04-30 |
| Kurt W Graham | 1220 Boren Ave Apt 805, Seattle, WA 98101-2712 | Physician/surgeon | ~ |
| Andrew J Graham Md | 40 Temple St, New Haven, CT 06510 | Physician/surgeon | 2010-07-01 ~ 2011-06-30 |
| Arthur P Greenberg | 126 Graham St., Se, Pt. Charlotte, FL 33952 | Physician/surgeon | 1979-01-24 ~ 1982-01-31 |
| Marcia A Gekowski | 9809 Britinay Lane, Baltimore, MD 21234 | Physician/surgeon | 1997-10-14 ~ 1998-10-31 |
| Marcia J Odal | 2401 Brentwood Dr, Wichita Falls, TX 76308-3903 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Marcia C Leatham | Sabedeco Court 43, Bonaire, Netherlands | Physician/surgeon | 2003-09-11 ~ 2004-10-31 |
Please comment or provide details below to improve the information on MARCIA K GRAHAM.
| Data Provider | Connecticut Department of Consumer Protection |
| Jurisdiction | Connecticut |
| Related Datasets | Connecticut Business Registrations, Connecticut Child Care Facilities |
This dataset includes 1.41 million licenses issued wtih Connecticut Department of Consumer Protection (TDLR).