GREGORY A BABCOCK Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125040853

License Status

EXPIRED

Business

First Name

GREGORY

Middle

Last Name

BABCOCK

Business Name

GREGORY A BABCOCK

Original Issue Date

06/22/2000

Effective Date

06/22/2000

Expiration Date

06/21/2005

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

09/22/2006