RICHARD EDWARD GRAY DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125056918

License Status

EXPIRED

Business

Title

First Name

RICHARD

Middle

EDWARD

Last Name

GRAY

Business Name

RICHARD EDWARD GRAY DO

Original Issue Date

07/01/2009

Effective Date

07/01/2009

Expiration Date

06/30/2012

City

BELLEVILLE

State

Zip

62220

County

SAINT CLAIR

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

08/29/2012