AMY ILENE GERHARDT MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125051476

License Status

EXPIRED

Business

Title

First Name

AMY

Middle

ILENE

Last Name

GERHARDT

Business Name

AMY ILENE GERHARDT MD

Original Issue Date

06/23/2009

Effective Date

06/23/2009

Expiration Date

06/22/2010

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Obstetrics & Gynecology

Ever Disciplined

LastModifiedDate

06/24/2010