THOMAS D GAST Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036112490

License Status

ACTIVE

Business

First Name

THOMAS

Middle

Last Name

GAST

Business Name

THOMAS D GAST

Original Issue Date

10/07/2004

Effective Date

07/25/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

07/25/2023