GARY A DRAPER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036041624

License Status

NOT RENEWED

Business

First Name

GARY

Middle

Last Name

DRAPER

Suffix

Business Name

GARY A DRAPER MD

Original Issue Date

03/29/1968

Effective Date

05/16/2011

Expiration Date

07/31/2014

City

SPRINGFIELD

State

Zip

62711

County

SANGAMON

Ever Disciplined

LastModifiedDate

11/17/2014