COLIN DUPREE GAUSE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****48

License Status

NOT RENEWED

Business

Title

First Name

COLIN

Middle

DUPREE

Last Name

GAUSE

Business Name

COLIN DUPREE GAUSE MD

Original Issue Date

02/25/2016

Effective Date

02/25/2016

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

11/01/2017