ALEXIS CATHERINE GAZDA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125073738

License Status

CANCELLED

Business

Title

First Name

ALEXIS

Middle

CATHERINE

Last Name

GAZDA

Business Name

ALEXIS CATHERINE GAZDA MD

Original Issue Date

07/01/2019

Effective Date

07/01/2019

Expiration Date

06/30/2022

City

SPRINGFIELD

State

Zip

62781

County

SANGAMON

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

05/06/2019