GREGORY JOSEPH CONRAD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****69

License Status

ACTIVE

Business

First Name

GREGORY

Middle

JOSEPH

Last Name

CONRAD

Business Name

GREGORY JOSEPH CONRAD

Original Issue Date

10/02/2006

Effective Date

04/09/2023

Expiration Date

07/31/2026

City

DEKALB

State

Zip

60115

County

DEKALB

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/09/2023