JON F GENTRY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****35

License Status

NOT RENEWED

Business

First Name

JON F

Last Name

GENTRY

Suffix

Business Name

JON F GENTRY MD

Original Issue Date

04/30/1993

Effective Date

08/14/2008

Expiration Date

07/31/2011

City

PEORIA

State

Zip

61615

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011