JALEESA GILBERT-GORTMAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****55

License Status

ACTIVE

Business

Title

First Name

JALEESA

Last Name

GILBERT-GORTMAN

Business Name

JALEESA GILBERT-GORTMAN MD

Original Issue Date

06/15/2021

Effective Date

06/12/2023

Expiration Date

07/31/2026

City

ALTON

State

Zip

62002

County

MADISON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/12/2023