JAMIE T GANCAYCO MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****68

License Status

ACTIVE

Business

First Name

JAMIE

Middle

Last Name

GANCAYCO

Suffix

Business Name

JAMIE T GANCAYCO MD

Original Issue Date

02/25/2000

Effective Date

06/23/2023

Expiration Date

07/31/2026

City

CRYSTAL LAKE

State

Zip

60014

County

MCHENRY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/23/2023