ROBERT DALE GILDERSLEEVE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****11

License Status

NOT RENEWED

Business

Title

First Name

ROBERT

Middle

DALE

Last Name

GILDERSLEEVE

Business Name

ROBERT DALE GILDERSLEEVE MD

Original Issue Date

12/03/2020

Effective Date

12/03/2020

Expiration Date

07/31/2023

City

CHICAGO

State

Zip

60612

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023