DEL R GARDNER Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125026059

License Status

EXPIRED

Business

First Name

DEL

Middle

Last Name

GARDNER

Business Name

DEL R GARDNER

Original Issue Date

10/23/1990

Effective Date

10/23/1990

Expiration Date

10/21/1993

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006