GREGORY J DELOST MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****87

License Status

CANCELLED

Business

First Name

GREGORY J

Last Name

DELOST

Suffix

Business Name

GREGORY J DELOST MD

Original Issue Date

08/30/1985

Effective Date

08/30/1985

Expiration Date

07/31/1987

City

GIBSON CITY

State

Zip

60936

County

FORD

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020