JEFFREY THOMAS GARDNER DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125060955

License Status

EXPIRED

Business

First Name

JEFFREY

Middle

THOMAS

Last Name

GARDNER

Suffix

Business Name

JEFFREY THOMAS GARDNER DO

Original Issue Date

07/01/2012

Effective Date

07/01/2012

Expiration Date

06/30/2015

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

09/04/2015