TED GERARD VAN ACKER DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****03

License Status

ACTIVE

Business

Title

First Name

TED GERARD

Last Name

VAN ACKER

Business Name

TED GERARD VAN ACKER DO

Original Issue Date

07/23/1996

Effective Date

04/19/2023

Expiration Date

07/31/2026

City

HERRIN

State

Zip

62948

County

WILLIAMSON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/19/2023