GLENN P GARDNER MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125016240

License Status

EXPIRED

Business

First Name

GLENN P

Last Name

GARDNER

Suffix

Business Name

GLENN P GARDNER MD

Original Issue Date

07/25/1983

Effective Date

07/25/1983

Expiration Date

07/01/1985

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

09/22/2006