GAIL E PRENDERGAST MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****62

License Status

ACTIVE

Business

First Name

GAIL

Middle

Last Name

PRENDERGAST

Suffix

Business Name

GAIL E PRENDERGAST MD

Original Issue Date

05/24/2000

Effective Date

08/01/2023

Expiration Date

07/31/2026

City

WESTERN SPRINGS

State

Zip

60558

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/01/2023