DALE RICHARD GRAY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****99

License Status

ACTIVE

Business

Title

First Name

DALE

Middle

RICHARD

Last Name

GRAY

Business Name

DALE RICHARD GRAY MD

Original Issue Date

02/27/1986

Effective Date

06/11/2023

Expiration Date

07/31/2026

City

ROCKFORD

State

Zip

61101

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/11/2023