GERALD ANTHONY GANTT JR MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036143979

License Status

ACTIVE

Business

Title

First Name

GERALD

Middle

ANTHONY

Last Name

GANTT

Suffix

Business Name

GERALD ANTHONY GANTT JR MD

Original Issue Date

07/28/2017

Effective Date

06/28/2023

Expiration Date

07/31/2026

City

COUNTRYSIDE

State

Zip

60525

County

COOK

Ever Disciplined

LastModifiedDate

06/28/2023