DOUGLAS L GATES Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036090833

License Status

ACTIVE

Business

First Name

DOUGLAS L

Last Name

GATES

Business Name

DOUGLAS L GATES

Original Issue Date

06/08/1995

Effective Date

06/03/2023

Expiration Date

07/31/2026

City

CARBONDALE

State

Zip

62901

County

JACKSON

Ever Disciplined

LastModifiedDate

12/10/2025