LAUREN WALDHOLTZ GREGORY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****64

License Status

ACTIVE

Business

Title

First Name

LAUREN

Middle

WALDHOLTZ

Last Name

GREGORY

Business Name

LAUREN WALDHOLTZ GREGORY MD

Original Issue Date

09/30/2020

Effective Date

04/11/2023

Expiration Date

07/31/2026

City

SHILOH

State

Zip

62269

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/11/2023