GWEN BROOKE GRIFFEN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036134294

License Status

ACTIVE

Business

Title

First Name

GWEN

Middle

BROOKE

Last Name

GRIFFEN

Business Name

GWEN BROOKE GRIFFEN MD

Original Issue Date

12/13/2013

Effective Date

05/10/2023

Expiration Date

07/31/2026

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/10/2023