GARY TYREL MARSHALL MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125064731

License Status

CANCELLED

Business

Title

First Name

GARY

Middle

TYREL

Last Name

MARSHALL

Business Name

GARY TYREL MARSHALL MD

Original Issue Date

07/01/2014

Effective Date

07/01/2014

Expiration Date

06/30/2017

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

05/27/2014