GIA GRAY Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125046643

License Status

EXPIRED

Business

First Name

GIA

Last Name

GRAY

Business Name

GIA GRAY

Original Issue Date

06/23/2003

Effective Date

06/23/2003

Expiration Date

06/22/2006

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006