THEODORE J GLEASON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036082552

License Status

ACTIVE

Business

First Name

THEODORE J

Last Name

GLEASON

Suffix

Business Name

THEODORE J GLEASON MD

Original Issue Date

06/05/1991

Effective Date

06/23/2023

Expiration Date

07/31/2026

City

SPRINGFIELD

State

Zip

62769

County

SANGAMON

Ever Disciplined

LastModifiedDate

06/23/2023