DOUGLAS L GATES Medical Doctor License verification

Business Entity

INOPERATIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****41

License Status

INOPERATIVE

Business

First Name

DOUGLAS L

Last Name

GATES

Business Name

DOUGLAS L GATES

Original Issue Date

07/07/1995

Effective Date

06/03/2023

Expiration Date

07/31/2026

City

CARBONDALE

State

Zip

62901

County

JACKSON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/03/2023