PHILIP MYLES GARDNER MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036042126

License Status

INACTIVE

Business

First Name

PHILIP MYLES

Last Name

GARDNER

Suffix

Business Name

PHILIP MYLES GARDNER MD

Original Issue Date

09/27/1968

Effective Date

09/27/1968

Expiration Date

07/31/2002

City

HIGHLAND PARK

State

Zip

60035

County

LAKE

Ever Disciplined

LastModifiedDate

10/09/2006