TODD GEPHART MD SC Medical Corporation License verification

Business Entity

NOT RENEWED

License Type

Medical Corporation

Description

REGISTERED MEDICAL CORPORATION

License Number

042617600

License Status

NOT RENEWED

Business

Business Name

TODD GEPHART MD SC

Original Issue Date

03/18/2002

Effective Date

10/26/2006

Expiration Date

01/01/2008

City

WEST DUNDEE

State

Zip

60118

County

KANE

Ever Disciplined

LastModifiedDate

02/15/2008