PHYLLIS ANNETTE GERBER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****12

License Status

NOT RENEWED

Business

First Name

PHYLLIS ANNETTE

Last Name

GERBER

Suffix

Business Name

PHYLLIS ANNETTE GERBER MD

Original Issue Date

01/22/1982

Effective Date

01/22/1982

Expiration Date

07/31/1999

City

EVANSTON

State

Zip

60202

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2017