KENT R GEBHARDT DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125020239

License Status

EXPIRED

Business

First Name

KENT R

Last Name

GEBHARDT

Suffix

Business Name

KENT R GEBHARDT DO

Original Issue Date

08/14/1986

Effective Date

08/14/1986

Expiration Date

07/01/1989

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

09/22/2006