GARY D THAL MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036088376

License Status

INACTIVE

Business

First Name

GARY D

Last Name

THAL

Suffix

Business Name

GARY D THAL MD

Original Issue Date

05/04/1994

Effective Date

05/04/1994

Expiration Date

07/31/2002

City

CHICAGO

State

Zip

60611

Ever Disciplined

LastModifiedDate

10/09/2006