RICHARD C GARDNER 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

RICHARD C

Last Name

GARDNER

Suffix

Business Name

RICHARD C GARDNER MD

Original Issue Date

04/18/1986

Effective Date

04/18/1986

Expiration Date

07/31/1987

City

CHICAGO

State

Zip

60649

County

COOK

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

09/26/2006