GEORGE A GENTRY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****11

License Status

ACTIVE

Business

First Name

GEORGE A

Last Name

GENTRY

Suffix

Business Name

GEORGE A GENTRY MD

Original Issue Date

09/24/1990

Effective Date

05/01/2023

Expiration Date

07/31/2026

City

EAST PEORIA

State

Zip

61611

County

PEORIA

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

05/01/2023