STEPHEN R GAWNE 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

STEPHEN R

Last Name

GAWNE

Suffix

Business Name

STEPHEN R GAWNE MD

Original Issue Date

10/28/1985

Effective Date

05/12/2023

Expiration Date

07/31/2026

City

HINES

State

Zip

60141

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/12/2023