MICHAEL J GERARD MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125038907

License Status

EXPIRED

Business

First Name

MICHAEL

Middle

Last Name

GERARD

Suffix

Business Name

MICHAEL J GERARD MD

Original Issue Date

01/19/1999

Effective Date

01/19/1999

Expiration Date

01/18/2002

City

ROCKFORD

State

Zip

61104

County

WINNEBAGO

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006