GREGORY DAVID BIANCHI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****12

License Status

NOT RENEWED

Business

First Name

GREGORY

Middle

DAVID

Last Name

BIANCHI

Suffix

Business Name

GREGORY DAVID BIANCHI MD

Original Issue Date

07/05/2000

Effective Date

07/05/2000

Expiration Date

07/31/2008

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008