GREGORY SCOTT TERRELL 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

Middle

SCOTT

Last Name

TERRELL

Suffix

Business Name

GREGORY SCOTT TERRELL MD

Original Issue Date

12/30/2003

Effective Date

12/30/2003

Expiration Date

07/31/2005

City

GURNEE

State

Zip

60031

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006