GORDON EDMUND CARR MD - Medical Doctor License in Illinois | # 125049101

GORDON EDMUND CARR MD

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125049101

License Status

CANCELLED

Business

N

First Name

GORDON

Middle

EDMUND

Last Name

CARR

Suffix

MD

Business Name

GORDON EDMUND CARR MD

Original Issue Date

06/24/2005

Effective Date

06/24/2005

Expiration Date

06/23/2008

State

IL

Specialty/Qualifier

Internal Medicine

Ever Disciplined

N

LastModifiedDate

03/24/2009