GREGORY JAMES BOOTH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****87

License Status

ACTIVE

Business

Title

First Name

GREGORY

Middle

JAMES

Last Name

BOOTH

Business Name

GREGORY JAMES BOOTH MD

Original Issue Date

01/09/2018

Effective Date

04/08/2023

Expiration Date

07/31/2026

City

CHESAPEAKE

State

Zip

23323

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/08/2023