GREGORY NELSON DRAKE DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130000669

License Status

EXPIRED

Business

Title

First Name

GREGORY

Middle

NELSON

Last Name

DRAKE

Business Name

GREGORY NELSON DRAKE DO

Original Issue Date

09/01/2005

Effective Date

09/01/2005

Expiration Date

09/30/2005

City

ELK GROVE VILLAGE

State

Zip

60007

Specialty/Qualifier

Orthopaedic Surgery

Ever Disciplined

LastModifiedDate

09/25/2006