GREGORY V GUARD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****32

License Status

NOT RENEWED

Business

First Name

GREGORY V

Last Name

GUARD

Suffix

Business Name

GREGORY V GUARD MD

Original Issue Date

08/12/1993

Effective Date

08/12/1993

Expiration Date

07/31/1999

City

PEORIA

State

Zip

61614

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020