GREGORY W DUQUELLA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****80

License Status

NOT RENEWED

Business

First Name

GREGORY

Middle

Last Name

DUQUELLA

Suffix

Business Name

GREGORY W DUQUELLA MD

Original Issue Date

03/20/2001

Effective Date

03/20/2001

Expiration Date

07/31/2008

City

OAK LAWN

State

Zip

60453

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008