ALLEN GLENN GERBERDING MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****64

License Status

NOT RENEWED

Business

First Name

ALLEN GLENN

Last Name

GERBERDING

Suffix

Business Name

ALLEN GLENN GERBERDING MD

Original Issue Date

01/01/1997

Effective Date

07/23/2020

Expiration Date

07/31/2023

City

FRANKLIN

State

Zip

62638

County

MORGAN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023