FARAH SANTONIL GAUDIER MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****83

License Status

ACTIVE

Business

First Name

FARAH

Middle

SANTONIL

Last Name

GAUDIER

Suffix

Business Name

FARAH SANTONIL GAUDIER MD

Original Issue Date

07/07/2005

Effective Date

04/19/2023

Expiration Date

07/31/2026

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/19/2023