STANFORD RALPH GAMM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036027765

License Status

NOT RENEWED

Business

First Name

STANFORD RALPH

Last Name

GAMM

Suffix

Business Name

STANFORD RALPH GAMM MD

Original Issue Date

03/11/1947

Effective Date

03/11/1947

Expiration Date

07/31/1984

City

HIGHLAND PARK

State

Zip

60035

County

LAKE

Ever Disciplined

LastModifiedDate

03/24/2007

Case Number

2004006765

Action

Refuse To Renew

Discipline Start Date

11/04/2004

Discipline Reason

DISCIPLINED IN CALIFORNIA.