GARY STEPHEN NACE MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036108353

License Status

INACTIVE

Business

First Name

GARY

Middle

STEPHEN

Last Name

NACE

Suffix

Business Name

GARY STEPHEN NACE MD

Original Issue Date

12/26/2002

Effective Date

05/27/2008

Expiration Date

07/31/2011

City

PEORIA

State

Zip

61637

County

PEORIA

Ever Disciplined

LastModifiedDate

04/07/2011