PATRICK JOSEPH GAVIN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****84

License Status

NOT RENEWED

Business

First Name

PATRICK

Middle

JOSEPH

Last Name

GAVIN

Suffix

Business Name

PATRICK JOSEPH GAVIN MD

Original Issue Date

06/01/2004

Effective Date

06/01/2004

Expiration Date

07/31/2008

City

EVANSTON

State

Zip

60201

County

COOK

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

11/06/2008