ENOCH GRAY MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125055556

License Status

CANCELLED

Business

First Name

ENOCH

Last Name

GRAY

Suffix

Business Name

ENOCH GRAY MD

Original Issue Date

08/01/2008

Effective Date

08/01/2008

Expiration Date

07/31/2011

City

NORTH CHICAGO

State

Zip

60064

County

LAKE

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

11/08/2011