CHRISTINE M GORMAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****17

License Status

ACTIVE

Business

First Name

CHRISTINE M

Last Name

GORMAN

Suffix

Business Name

CHRISTINE M GORMAN MD

Original Issue Date

11/25/1992

Effective Date

06/24/2023

Expiration Date

07/31/2026

City

ROCHELLE

State

Zip

61068

County

OGLE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/24/2023