B KEN GRAY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****26

License Status

NOT RENEWED

Business

First Name

Middle

KEN

Last Name

GRAY

Suffix

Business Name

B KEN GRAY MD

Original Issue Date

02/17/1998

Effective Date

02/17/1998

Expiration Date

07/31/2002

City

CHICAGO HEIGHTS

State

Zip

60411

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006