GREGORY ALLEN SURFIELD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****07

License Status

NOT RENEWED

Business

First Name

GREGORY

Middle

ALLEN

Last Name

SURFIELD

Suffix

Business Name

GREGORY ALLEN SURFIELD MD

Original Issue Date

07/24/2006

Effective Date

04/17/2008

Expiration Date

07/31/2011

City

MAYWOOD

State

Zip

60153

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011