GREGORY S KLEIN Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125037152

License Status

EXPIRED

Business

First Name

GREGORY

Middle

Last Name

KLEIN

Business Name

GREGORY S KLEIN

Original Issue Date

07/21/1997

Effective Date

07/21/1997

Expiration Date

11/03/1999

City

NORTH CHICAGO

State

Zip

60064

County

LAKE

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006