GREGORY DEWITT FOLKERT MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****43

License Status

ACTIVE

Business

Title

First Name

GREGORY

Middle

DEWITT

Last Name

FOLKERT

Business Name

GREGORY DEWITT FOLKERT MD

Original Issue Date

11/01/2019

Effective Date

06/07/2023

Expiration Date

07/31/2026

City

MARYVILLE

State

Zip

62062

County

MADISON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/07/2023