BRIAN R GANTWERKER MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036124071

License Status

ACTIVE

Business

First Name

BRIAN

Middle

Last Name

GANTWERKER

Suffix

Business Name

BRIAN R GANTWERKER MD

Original Issue Date

07/21/2009

Effective Date

05/10/2023

Expiration Date

07/31/2026

City

LOS ANGELES

State

Zip

90049

Ever Disciplined

LastModifiedDate

05/10/2023