HEATHER M GREGORY DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036131306

License Status

NOT RENEWED

Business

Title

First Name

HEATHER

Middle

Last Name

GREGORY

Business Name

HEATHER M GREGORY DO

Original Issue Date

09/05/2012

Effective Date

09/05/2012

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

11/17/2014