GREGORY ALLEN SURFIELD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036116344

License Status

NOT RENEWED

Business

First Name

GREGORY

Middle

ALLEN

Last Name

SURFIELD

Suffix

Business Name

GREGORY ALLEN SURFIELD MD

Original Issue Date

06/29/2006

Effective Date

04/17/2008

Expiration Date

07/31/2011

City

FOREST PARK

State

Zip

60130

County

COOK

Ever Disciplined

LastModifiedDate

11/14/2011