GORDON R MONTGOMERY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****25

License Status

NOT RENEWED

Business

First Name

GORDON R

Last Name

MONTGOMERY

Suffix

Business Name

GORDON R MONTGOMERY MD

Original Issue Date

01/01/1997

Expiration Date

07/31/2008

City

CHAMPAIGN

State

Zip

61821

County

CHAMPAIGN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/11/2017