GERALD LEE TOLBERT MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125057176

License Status

CANCELLED

Business

Title

First Name

GERALD

Middle

LEE

Last Name

TOLBERT

Business Name

GERALD LEE TOLBERT MD

Original Issue Date

07/01/2009

Effective Date

07/01/2009

Expiration Date

06/30/2012

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

05/22/2009