PHILIP GABRIEL GOMEZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****13

License Status

NOT RENEWED

Business

Title

First Name

PHILIP

Middle

GABRIEL

Last Name

GOMEZ

Business Name

PHILIP GABRIEL GOMEZ MD

Original Issue Date

07/30/2018

Effective Date

07/30/2018

Expiration Date

09/30/2020

City

MT VERNON

State

Zip

62864

County

JEFFERSON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021