ALLEN R GARDNER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****02

License Status

NOT RENEWED

Business

First Name

ALLEN R

Last Name

GARDNER

Suffix

Business Name

ALLEN R GARDNER MD

Original Issue Date

02/05/1982

Effective Date

02/05/1982

Expiration Date

07/31/1999

City

GLENVIEW

State

Zip

60025

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2017