GORDON EDMUND CARR MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125049101

License Status

CANCELLED

Business

First Name

GORDON

Middle

EDMUND

Last Name

CARR

Suffix

Business Name

GORDON EDMUND CARR MD

Original Issue Date

06/24/2005

Effective Date

06/24/2005

Expiration Date

06/23/2008

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

03/24/2009