GREGG MICHAEL GAYLORD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****29

License Status

NOT RENEWED

Business

First Name

GREGG MICHAEL

Last Name

GAYLORD

Suffix

Business Name

GREGG MICHAEL GAYLORD MD

Original Issue Date

04/14/1997

Effective Date

06/20/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60654

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2017