MARY J GORMAN 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

MARY

Middle

Last Name

GORMAN

Suffix

Business Name

MARY J GORMAN MD

Original Issue Date

05/21/1999

Effective Date

05/21/1999

Expiration Date

07/31/2008

City

HINSDALE

State

Zip

60521

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008