KRISTOF THEODORE GEHRKE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****10

License Status

NOT RENEWED

Business

Title

First Name

KRISTOF

Middle

THEODORE

Last Name

GEHRKE

Business Name

KRISTOF THEODORE GEHRKE MD

Original Issue Date

10/28/2016

Effective Date

10/28/2016

Expiration Date

07/31/2017

City

ROCK ISLAND

State

Zip

61201

County

ROCK ISLAND

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017