GAIL L PATRICK Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****18

License Status

ACTIVE

Business

First Name

GAIL

Middle

Last Name

PATRICK

Business Name

GAIL L PATRICK

Original Issue Date

10/18/2006

Effective Date

07/04/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60659

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/04/2023