MARY ELLEN B GAEKE MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036053279

License Status

INACTIVE

Business

First Name

MARY ELLEN B

Last Name

GAEKE

Suffix

Business Name

MARY ELLEN B GAEKE MD

Original Issue Date

08/19/1976

Effective Date

08/19/1976

Expiration Date

07/31/1987

City

MIDDLETOWN

State

Zip

45042

County

OHIO

Ever Disciplined

LastModifiedDate

09/20/2006