HEATHER D GAGE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****04

License Status

NOT RENEWED

Business

First Name

HEATHER

Middle

Last Name

GAGE

Suffix

Business Name

HEATHER D GAGE MD

Original Issue Date

08/01/2006

Effective Date

05/15/2008

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

11/10/2011