CAPTAIN K GRAY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036081849

License Status

NOT RENEWED

Business

First Name

CAPTAIN K

Last Name

GRAY

Suffix

Business Name

CAPTAIN K GRAY MD

Original Issue Date

11/21/1990

Effective Date

08/08/2017

Expiration Date

09/30/2020

City

DOWNERS GROVE

State

Zip

60515

County

DUPAGE

Ever Disciplined

LastModifiedDate

01/14/2021