MANDY LYNN GITTLER 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

Title

First Name

MANDY

Middle

LYNN

Last Name

GITTLER

Business Name

MANDY LYNN GITTLER MD

Original Issue Date

05/10/2012

Effective Date

05/10/2012

Expiration Date

07/31/2014

City

PEORIA

State

Zip

61614

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020