ERNEST GRESHAM 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

ERNEST

Last Name

GRESHAM

Suffix

Business Name

ERNEST GRESHAM MD

Original Issue Date

09/09/1986

Effective Date

09/09/1986

Expiration Date

07/31/1990

City

EAST ST LOUIS

State

Zip

62201

County

SAINT CLAIR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006