RICHARD J GARDNER Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125026698

License Status

EXPIRED

Business

First Name

RICHARD

Middle

Last Name

GARDNER

Business Name

RICHARD J GARDNER

Original Issue Date

05/15/1991

Effective Date

05/15/1991

Expiration Date

08/18/1997

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

09/22/2006