JOANNA C GARDNER Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****59

License Status

ACTIVE

Business

First Name

JOANNA

Middle

Last Name

GARDNER

Business Name

JOANNA C GARDNER

Original Issue Date

12/17/2004

Effective Date

06/15/2023

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61637

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/15/2023