GARY T TASH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****31

License Status

NOT RENEWED

Business

First Name

GARY T

Last Name

TASH

Suffix

Business Name

GARY T TASH MD

Original Issue Date

11/09/1989

Effective Date

11/09/1989

Expiration Date

07/31/1996

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006