GREGORY LEWIS DENISON Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****68

License Status

NOT RENEWED

Business

First Name

GREGORY

Middle

LEWIS

Last Name

DENISON

Business Name

GREGORY LEWIS DENISON

Original Issue Date

09/16/2002

Effective Date

12/03/2008

Expiration Date

07/31/2011

City

HARVARD

State

Zip

60033

County

MCHENRY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011