GREGORY JOSEPH CONRAD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125047284

License Status

EXPIRED

Business

First Name

GREGORY

Middle

JOSEPH

Last Name

CONRAD

Business Name

GREGORY JOSEPH CONRAD

Original Issue Date

06/21/2004

Effective Date

06/21/2004

Expiration Date

06/30/2007

City

OLYMPIA FIELDS

State

Zip

60461

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

07/03/2007