THERESA CATHERINE GANDOR 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

THERESA

Middle

CATHERINE

Last Name

GANDOR

Suffix

Business Name

THERESA CATHERINE GANDOR MD

Original Issue Date

09/18/2008

Effective Date

09/18/2008

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020