GERARDO A GRIECO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****62

License Status

NOT RENEWED

Business

First Name

GERARDO A

Last Name

GRIECO

Suffix

Business Name

GERARDO A GRIECO MD

Original Issue Date

12/17/1990

Effective Date

12/17/1990

Expiration Date

07/31/1993

City

NORMAL

State

Zip

61761

County

MCLEAN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020