CANDACE MARIE GATES MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036138527

License Status

NOT RENEWED

Business

Title

First Name

CANDACE

Middle

MARIE

Last Name

GATES

Business Name

CANDACE MARIE GATES MD

Original Issue Date

06/30/2015

Effective Date

06/24/2020

Expiration Date

07/31/2023

City

BROOHAVEN

State

Zip

30319

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

11/30/2023