GARY M KIRK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****18

License Status

NOT RENEWED

Business

First Name

GARY M

Last Name

KIRK

Suffix

Business Name

GARY M KIRK MD

Original Issue Date

05/20/1988

Effective Date

05/20/1988

Expiration Date

07/31/1993

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006