GARY JOHN MERLOTTI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****28

License Status

NOT RENEWED

Business

First Name

GARY JOHN

Last Name

MERLOTTI

Suffix

Business Name

GARY JOHN MERLOTTI MD

Original Issue Date

06/19/1981

Effective Date

10/10/2017

Expiration Date

09/30/2020

City

PALOS PARK

State

Zip

60464

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021