GREGORY R URSINO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****72

License Status

NOT RENEWED

Business

First Name

GREGORY R

Last Name

URSINO

Suffix

Business Name

GREGORY R URSINO MD

Original Issue Date

12/05/1995

Effective Date

12/05/1995

Expiration Date

07/31/2005

City

DOWNERS GROVE

State

Zip

60515

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020