GREGORY S KNUDSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****54

License Status

NOT RENEWED

Business

First Name

GREGORY S

Last Name

KNUDSON

Suffix

Business Name

GREGORY S KNUDSON MD

Original Issue Date

08/26/1988

Effective Date

08/26/1988

Expiration Date

07/31/1993

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

09/26/2006