LARRY TYRON GAINES MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****59

License Status

ACTIVE

Business

Title

First Name

LARRY

Middle

TYRON

Last Name

GAINES

Business Name

LARRY TYRON GAINES MD

Original Issue Date

06/24/2014

Effective Date

04/17/2023

Expiration Date

07/31/2026

City

ELGIN

State

Zip

60123

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/17/2023