DAVID PETER GAVIN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125048499

License Status

EXPIRED

Business

First Name

DAVID

Middle

PETER

Last Name

GAVIN

Suffix

Business Name

DAVID PETER GAVIN MD

Original Issue Date

07/01/2004

Effective Date

07/01/2004

Expiration Date

06/30/2007

City

NORTHBROOK

State

Zip

60062

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

07/03/2007