CYPRIAN A GARDINE Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125044843

License Status

EXPIRED

Business

First Name

CYPRIAN

Middle

Last Name

GARDINE

Business Name

CYPRIAN A GARDINE

Original Issue Date

06/22/2002

Effective Date

06/22/2002

Expiration Date

06/21/2005

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006