MARCUS EUGENE GENTRY DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125047532

License Status

EXPIRED

Business

First Name

MARCUS

Middle

EUGENE

Last Name

GENTRY

Suffix

Business Name

MARCUS EUGENE GENTRY DO

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