GREGG S DENSMORE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****38

License Status

NOT RENEWED

Business

First Name

GREGG S

Last Name

DENSMORE

Suffix

Business Name

GREGG S DENSMORE MD

Original Issue Date

05/20/1992

Effective Date

05/20/1992

Expiration Date

07/31/1993

City

CHICAGO

State

Zip

60610

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006