GORDON MAXWELL PERISHO MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036019352

License Status

INACTIVE

Business

First Name

GORDON MAXWELL

Last Name

PERISHO

Suffix

Business Name

GORDON MAXWELL PERISHO MD

Original Issue Date

05/31/1932

Effective Date

05/31/1932

Expiration Date

07/31/1987

City

QUINCY

State

Zip

62301

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

09/20/2006