MARK PHILLIP GAUDIO MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****82

License Status

ACTIVE

Business

First Name

MARK

Middle

PHILLIP

Last Name

GAUDIO

Suffix

Business Name

MARK PHILLIP GAUDIO MD

Original Issue Date

07/28/2008

Effective Date

04/08/2023

Expiration Date

07/31/2026

City

GERMANTOWN HILLS

State

Zip

61548

County

PEORIA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/08/2023