GABRIEL EZRA MERLIN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****56

License Status

NOT RENEWED

Business

Title

First Name

GABRIEL

Middle

EZRA

Last Name

MERLIN

Business Name

GABRIEL EZRA MERLIN MD

Original Issue Date

03/28/2018

Effective Date

03/28/2018

Expiration Date

09/30/2020

City

SCHAUMBURG

State

Zip

60195

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021