GREGORY IRAKLY IGNATIUS GABLIANI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****61

License Status

NOT RENEWED

Business

First Name

GREGORY IRAKLY

Middle

IGNATIUS

Last Name

GABLIANI

Suffix

Business Name

GREGORY IRAKLY IGNATIUS GABLIANI MD

Original Issue Date

08/01/2001

Effective Date

08/24/2020

Expiration Date

07/31/2023

City

ALTON

State

Zip

62002

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023