BRIAN K GEHLBACH Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****27

License Status

NOT RENEWED

Business

First Name

BRIAN

Middle

Last Name

GEHLBACH

Business Name

BRIAN K GEHLBACH

Original Issue Date

07/15/1998

Effective Date

04/17/2008

Expiration Date

07/31/2011

City

OAK PARK

State

Zip

60302

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011