GERALD ANTHONY GANTT JR MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****29

License Status

ACTIVE

Business

Title

First Name

GERALD

Middle

ANTHONY

Last Name

GANTT

Suffix

Business Name

GERALD ANTHONY GANTT JR MD

Original Issue Date

07/28/2017

Effective Date

06/28/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60618

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/28/2023