MATTHEW K GENTILE Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****16

License Status

NOT RENEWED

Business

First Name

MATTHEW K

Last Name

GENTILE

Business Name

MATTHEW K GENTILE

Original Issue Date

12/03/1990

Effective Date

12/03/1990

Expiration Date

07/31/2005

City

OLYMPIA FIELDS

State

Zip

60461

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006