MALCOLM ALEXANDER COLLINS GEBAUER MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****78

License Status

ACTIVE

Business

Title

First Name

MALCOLM

Middle

ALEXANDER COLLINS

Last Name

GEBAUER

Business Name

MALCOLM ALEXANDER COLLINS GEBAUER MD

Original Issue Date

10/09/2025

Effective Date

10/09/2025

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60644

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2025