TODD WILLIAM GRAY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****79

License Status

ACTIVE

Business

First Name

TODD

Middle

WILLIAM

Last Name

GRAY

Suffix

Business Name

TODD WILLIAM GRAY MD

Original Issue Date

07/22/2020

Effective Date

07/04/2023

Expiration Date

07/31/2026

City

SILVIS

State

Zip

61282

County

ROCK ISLAND

Specialty/Qualifier

PHARM DISTRIBUTOR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/23/2023