GREGG MICHAEL GAYLORD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****14

License Status

NOT RENEWED

Business

First Name

GREGG MICHAEL

Last Name

GAYLORD

Suffix

Business Name

GREGG MICHAEL GAYLORD MD

Original Issue Date

11/24/2010

Effective Date

06/23/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60654

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017