GARY TYREL MARSHALL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****13

License Status

ACTIVE

Business

Title

First Name

GARY

Middle

TYREL

Last Name

MARSHALL

Business Name

GARY TYREL MARSHALL MD

Original Issue Date

02/21/2017

Effective Date

06/22/2023

Expiration Date

07/31/2026

City

URBANA

State

Zip

61801

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/22/2023