GREG J GHIARDI Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036111390

License Status

NOT RENEWED

Business

First Name

GREG

Middle

Last Name

GHIARDI

Business Name

GREG J GHIARDI

Original Issue Date

05/21/2004

Effective Date

05/21/2004

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60637

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006