GREGORY H PAE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****93

License Status

NOT RENEWED

Business

First Name

GREGORY H

Last Name

PAE

Suffix

Business Name

GREGORY H PAE MD

Original Issue Date

09/05/1990

Effective Date

09/05/1990

Expiration Date

07/31/1996

City

CHICAGO

State

Zip

60630

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006