GREGG L NEITHARDT MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****56

License Status

CANCELLED

Business

First Name

GREGG

Middle

Last Name

NEITHARDT

Suffix

Business Name

GREGG L NEITHARDT MD

Original Issue Date

07/22/1999

Effective Date

07/22/1999

Expiration Date

07/31/2002

City

CHICAGO

State

Zip

60637

County

COOK

Controlled Substance Schedule

II IV V

Ever Disciplined

LastModifiedDate

10/09/2006