TODD M GERLACH MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125031057

License Status

EXPIRED

Business

First Name

TODD

Middle

Last Name

GERLACH

Suffix

Business Name

TODD M GERLACH MD

Original Issue Date

05/10/1994

Effective Date

05/10/1994

Expiration Date

06/19/1997

City

CHICAGO

State

Zip

60608

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

09/22/2006