THEODORE J GLEASON 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

First Name

THEODORE J

Last Name

GLEASON

Suffix

Business Name

THEODORE J GLEASON MD

Original Issue Date

10/05/1994

Effective Date

06/23/2023

Expiration Date

07/31/2026

City

SPRINGFIELD

State

Zip

62769

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/23/2023