ALAN PHILIP GEGENHEIMER DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****45

License Status

ACTIVE

Business

First Name

ALAN

Middle

PHILIP

Last Name

GEGENHEIMER

Suffix

Business Name

ALAN PHILIP GEGENHEIMER DO

Original Issue Date

06/17/2014

Effective Date

07/07/2023

Expiration Date

07/31/2026

City

GURNEE

State

Zip

60031

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/07/2023