MARCUS EUGENE GENTRY DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****76

License Status

NOT RENEWED

Business

First Name

MARCUS

Middle

EUGENE

Last Name

GENTRY

Suffix

Business Name

MARCUS EUGENE GENTRY DO

Original Issue Date

07/11/2006

Effective Date

07/11/2006

Expiration Date

07/31/2008

City

OLYMPIA FIELDS

State

Zip

60461

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008