GREGG R GLADHART Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125043511

License Status

EXPIRED

Business

First Name

GREGG

Middle

Last Name

GLADHART

Business Name

GREGG R GLADHART

Original Issue Date

07/01/2001

Effective Date

07/01/2001

Expiration Date

03/02/2005

City

PEORIA

State

Zip

61602

County

PEORIA

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006