TODD A GEPHART MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****09

License Status

ACTIVE

Business

First Name

TODD

Middle

Last Name

GEPHART

Suffix

Business Name

TODD A GEPHART MD

Original Issue Date

11/12/1997

Effective Date

06/23/2023

Expiration Date

07/31/2026

City

EAST DUNDEE

State

Zip

60118

County

KANE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/23/2023