License holder summary

CONNIE LAVONNE GRAHAM is a Board Of Medicine licensed to practice in Idaho. The address on file for CONNIE LAVONNE GRAHAM is 652 DEER MEADOWS LN PAYETTE ID 83661. This licensed professional license is not current. The license was granted 02/07/1992 and expired on 07/31/2010.

Idaho

Division of Occupational and Professional Licenses

CONNIE LAVONNE GRAHAM
Board Of Medicine
License number
LRT-288
Date granted
02/07/1992
Date expires
07/31/2010
Class
Board Of Medicine
Status
Canceled
Address
652 DEER MEADOWS LN PAYETTE ID 83661
idaholicensing.com
ID 48334655
LAST UPDATED 2026-03-13 18:51:29 UTC

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