GLENN T GERHARD MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****29

License Status

CANCELLED

Business

First Name

GLENN T

Last Name

GERHARD

Suffix

Business Name

GLENN T GERHARD MD

Original Issue Date

09/14/1984

Effective Date

09/14/1984

Expiration Date

07/31/2008

City

OAK LAWN

State

Zip

60453

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/17/2008