KENT R GEBHARDT DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036076067

License Status

NOT RENEWED

Business

First Name

KENT R

Last Name

GEBHARDT

Suffix

Business Name

KENT R GEBHARDT DO

Original Issue Date

09/25/1987

Effective Date

09/25/1987

Expiration Date

07/31/1990

City

FOREST PARK

State

Zip

60130

County

COOK

Ever Disciplined

LastModifiedDate

02/06/2008

Case Number

2007002252

Action

Refuse To Renew

Discipline Start Date

06/05/2007

Discipline Reason

after being disciplined in the state of Washington.