DAN ANTHONY C GARGANERA Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****07

License Status

ACTIVE

Business

First Name

DAN ANTHONY

Middle

Last Name

GARGANERA

Business Name

DAN ANTHONY C GARGANERA

Original Issue Date

08/22/2000

Effective Date

06/04/2023

Expiration Date

07/31/2026

City

JOLIET

State

Zip

60435

County

WILL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/04/2023