HENRY J GAULT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036046462

License Status

NOT RENEWED

Business

First Name

HENRY J

Last Name

GAULT

Suffix

Business Name

HENRY J GAULT MD

Original Issue Date

09/18/1972

Effective Date

08/21/2020

Expiration Date

07/31/2023

City

DEERFIELD

State

Zip

60015

County

LAKE

Ever Disciplined

LastModifiedDate

11/30/2023