JOHN S GAMBOL 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

JOHN

Middle

Last Name

GAMBOL

Suffix

Business Name

JOHN S GAMBOL MD

Original Issue Date

06/14/1996

Effective Date

06/14/1996

Expiration Date

07/31/2002

City

CHICAGO

State

Zip

60637

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011