ALLEN R GARDNER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****01

License Status

NOT RENEWED

Business

First Name

ALLEN R

Last Name

GARDNER

Suffix

Business Name

ALLEN R GARDNER MD

Original Issue Date

08/20/1979

Effective Date

08/20/1979

Expiration Date

07/31/2005

City

DEERFIELD

State

Zip

60015

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2017