DAVID CORNELL GANCH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****85

License Status

NOT RENEWED

Business

First Name

DAVID CORNELL

Last Name

GANCH

Suffix

Business Name

DAVID CORNELL GANCH MD

Original Issue Date

01/01/1997

Effective Date

07/14/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60614

County

COOK

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

04/05/2020