MARK LEON GATES 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

First Name

MARK

Middle

LEON

Last Name

GATES

Suffix

Business Name

MARK LEON GATES MD

Original Issue Date

08/17/2005

Effective Date

04/12/2023

Expiration Date

07/31/2026

City

ANNA

State

Zip

62906

County

UNION

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2023