GREGORY CAMERON MCGOVERN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125063364

License Status

CANCELLED

Business

First Name

GREGORY

Middle

CAMERON

Last Name

MCGOVERN

Suffix

Business Name

GREGORY CAMERON MCGOVERN MD

Original Issue Date

07/01/2016

Effective Date

07/01/2016

Expiration Date

06/30/2018

City

PEORIA

State

Zip

61605

County

PEORIA

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

06/21/2016