GARY R PROCTOR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****24

License Status

NOT RENEWED

Business

Title

First Name

GARY

Middle

Last Name

PROCTOR

Business Name

GARY R PROCTOR MD

Original Issue Date

08/23/1991

Effective Date

08/23/1991

Expiration Date

07/31/1996

City

DIXON

State

Zip

61021

County

LEE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2017