JON F GENTRY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036085837

License Status

NOT RENEWED

Business

First Name

JON F

Last Name

GENTRY

Suffix

Business Name

JON F GENTRY MD

Original Issue Date

02/23/1993

Effective Date

04/17/2008

Expiration Date

07/31/2011

City

PEORIA

State

Zip

61615

County

PEORIA

Ever Disciplined

LastModifiedDate

11/14/2011