MARK PHILLIP GAUDIO MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125051037

License Status

EXPIRED

Business

First Name

MARK

Middle

PHILLIP

Last Name

GAUDIO

Suffix

Business Name

MARK PHILLIP GAUDIO MD

Original Issue Date

07/01/2006

Effective Date

07/01/2006

Expiration Date

06/30/2009

City

PEORIA

State

Zip

61637

County

PEORIA

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

07/15/2009