BRIAN R GANTWERKER MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****69

License Status

ACTIVE

Business

First Name

BRIAN

Middle

Last Name

GANTWERKER

Suffix

Business Name

BRIAN R GANTWERKER MD

Original Issue Date

07/22/2009

Effective Date

04/12/2023

Expiration Date

07/31/2026

City

LOS ANGELES

State

Zip

90049

County

CALIFORNIA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2023