GREGORY JAMES IMBARRATO DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036142003

License Status

NOT RENEWED

Business

Title

First Name

GREGORY

Middle

JAMES

Last Name

IMBARRATO

Business Name

GREGORY JAMES IMBARRATO DO

Original Issue Date

11/17/2016

Effective Date

04/24/2017

Expiration Date

09/30/2020

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Ever Disciplined

LastModifiedDate

01/14/2021