GABRIEL ANTONIO CAMPBELL MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125046607

License Status

EXPIRED

Business

First Name

GABRIEL

Middle

ANTONIO

Last Name

CAMPBELL

Suffix

Business Name

GABRIEL ANTONIO CAMPBELL MD

Original Issue Date

06/04/2003

Effective Date

06/04/2003

Expiration Date

06/30/2006

City

ROCKFORD

State

Zip

61104

County

WINNEBAGO

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006