GABRIEL ANTONIO CAMPBELL MD - Medical Doctor License in Illinois | # 125046607

GABRIEL ANTONIO CAMPBELL MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125046607

License Status

EXPIRED

Business

N

First Name

GABRIEL

Middle

ANTONIO

Last Name

CAMPBELL

Suffix

MD

Business Name

GABRIEL ANTONIO CAMPBELL MD

Original Issue Date

06/04/2003

Effective Date

06/04/2003

Expiration Date

06/30/2006

State

IL

Specialty/Qualifier

Family Medicine

Ever Disciplined

N

LastModifiedDate

09/22/2006