MARC W GERDISCH MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125021251

License Status

EXPIRED

Business

First Name

MARC W

Last Name

GERDISCH

Suffix

Business Name

MARC W GERDISCH MD

Original Issue Date

06/09/1987

Effective Date

06/09/1987

Expiration Date

07/01/1990

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Addiction Psychiatry

Ever Disciplined

LastModifiedDate

09/22/2006