GREGORY J DELOST MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125014814

License Status

EXPIRED

Business

First Name

GREGORY J

Last Name

DELOST

Suffix

Business Name

GREGORY J DELOST MD

Original Issue Date

07/16/1982

Effective Date

07/16/1982

Expiration Date

07/01/1984

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006