TRENTON M GAUSE Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125026561

License Status

EXPIRED

Business

First Name

TRENTON

Middle

Last Name

GAUSE

Business Name

TRENTON M GAUSE

Original Issue Date

05/10/1991

Effective Date

05/10/1991

Expiration Date

06/30/1992

City

MAYWOOD

State

Zip

60153

County

COOK

Ever Disciplined

LastModifiedDate

12/20/2007