GERALD LEE TOLBERT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****38

License Status

NOT RENEWED

Business

Title

First Name

GERALD

Middle

LEE

Last Name

TOLBERT

Business Name

GERALD LEE TOLBERT MD

Original Issue Date

03/30/2012

Effective Date

06/22/2017

Expiration Date

09/30/2020

City

SEATTLE

State

Zip

98102

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021