GREGORY TODD GARRISON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036099135

License Status

ACTIVE

Business

First Name

GREGORY

Middle

TODD

Last Name

GARRISON

Suffix

Business Name

GREGORY TODD GARRISON MD

Original Issue Date

09/29/1998

Effective Date

05/23/2023

Expiration Date

07/31/2026

City

SWANSEA

State

Zip

62226

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

05/23/2023

Case Number

2011006692

Action

Suspension

Discipline Start Date

10/14/2011

Discipline End Date

10/28/2011

Discipline Reason

Failure to file and/or pay Illinois state income taxes. Notice of tax deficiency release received from Department of Revenue on 10/31/2011.