CHARLES ERIC GAMBLA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****65

License Status

CANCELLED

Business

First Name

CHARLES

Middle

ERIC

Last Name

GAMBLA

Suffix

Business Name

CHARLES ERIC GAMBLA MD

Original Issue Date

03/31/2000

Effective Date

03/31/2000

Expiration Date

07/31/2002

City

CHICAGO

State

Zip

60611

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006