JOSEPH KLEMME GERWIN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****46

License Status

NOT RENEWED

Business

First Name

JOSEPH

Middle

KLEMME

Last Name

GERWIN

Suffix

Business Name

JOSEPH KLEMME GERWIN MD

Original Issue Date

06/18/1998

Effective Date

04/19/2017

Expiration Date

09/30/2020

City

EAST PEORIA

State

Zip

61611

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021