GORDON THOMAS CAMPBELL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****69

License Status

NOT RENEWED

Business

First Name

GORDON THOMAS

Last Name

CAMPBELL

Suffix

Business Name

GORDON THOMAS CAMPBELL MD

Original Issue Date

05/02/1995

Effective Date

06/05/2014

Expiration Date

07/31/2017

City

PEORIA

State

Zip

61614

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017