MEYER DAVID GERSHBAUM MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****50

License Status

ACTIVE

Business

Title

First Name

MEYER

Middle

DAVID

Last Name

GERSHBAUM

Business Name

MEYER DAVID GERSHBAUM MD

Original Issue Date

08/27/2022

Effective Date

07/11/2023

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61614

County

PEORIA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/11/2023