TIMOTHY J GRAY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****27

License Status

ACTIVE

Business

First Name

TIMOTHY J

Last Name

GRAY

Suffix

Business Name

TIMOTHY J GRAY MD

Original Issue Date

01/13/1992

Effective Date

04/18/2023

Expiration Date

07/31/2026

City

EFFINGHAM

State

Zip

62401

County

EFFINGHAM

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/18/2023