GERARD L DYSICO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****40

License Status

NOT RENEWED

Business

First Name

GERARD

Middle

Last Name

DYSICO

Business Name

GERARD L DYSICO

Original Issue Date

07/17/2007

Effective Date

07/23/2008

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60601

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020