STEVE ANTHONY GENTRY MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125061015

License Status

CANCELLED

Business

Title

First Name

STEVE

Middle

ANTHONY

Last Name

GENTRY

Business Name

STEVE ANTHONY GENTRY MD

Original Issue Date

07/01/2012

Effective Date

07/01/2012

Expiration Date

06/30/2015

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

03/24/2014