CHAD RYAN GONCZY MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125058387

License Status

EXPIRED

Business

First Name

CHAD

Middle

RYAN

Last Name

GONCZY

Suffix

Business Name

CHAD RYAN GONCZY MD

Original Issue Date

06/26/2013

Effective Date

06/26/2013

Expiration Date

06/25/2015

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

09/04/2015