JUSTIN SCOTT GATEWOOD MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125048071

License Status

EXPIRED

Business

First Name

JUSTIN

Middle

SCOTT

Last Name

GATEWOOD

Suffix

Business Name

JUSTIN SCOTT GATEWOOD MD

Original Issue Date

06/24/2004

Effective Date

06/24/2004

Expiration Date

06/23/2007

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

07/03/2007