GLADYS WILMER G DYCHIAO 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

First Name

GLADYS WILMER

Middle

Last Name

DYCHIAO

Business Name

GLADYS WILMER G DYCHIAO

Original Issue Date

06/04/2003

Effective Date

06/04/2003

Expiration Date

07/31/2005

City

OAK LAWN

State

Zip

60453

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006