HENRY J GAULT MD SC - Medical Corporation License in Illinois | # 042003595

HENRY J GAULT MD SC

Business Entity

NOT RENEWED

License Type

Medical Corporation

Description

REGISTERED MEDICAL CORPORATION

License Number

042003595

License Status

NOT RENEWED

Business

Y

Business Name

HENRY J GAULT MD SC

Original Issue Date

04/16/1979

Effective Date

03/19/2019

Expiration Date

01/01/2022

State

IL

Ever Disciplined

N

LastModifiedDate

02/15/2023