DARNELLA D GIST 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

DARNELLA

Middle

Last Name

GIST

Business Name

DARNELLA D GIST

Original Issue Date

06/04/2001

Effective Date

06/04/2001

Expiration Date

07/31/2002

City

CHICAGO

State

Zip

60625

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006