ADAM PHILIP GEBALLE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036059580

License Status

NOT RENEWED

Business

First Name

ADAM PHILIP

Last Name

GEBALLE

Suffix

Business Name

ADAM PHILIP GEBALLE MD

Original Issue Date

10/26/1979

Effective Date

10/26/1979

Expiration Date

07/01/1982

City

CHICAGO

State

Zip

60637

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006