WILLIAM GARDINER BIRD IV MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****84

License Status

ACTIVE

Business

First Name

WILLIAM GARDINER

Last Name

BIRD IV

Suffix

Business Name

WILLIAM GARDINER BIRD IV MD

Original Issue Date

04/21/1997

Effective Date

06/23/2023

Expiration Date

07/31/2026

City

STERLING

State

Zip

61081

County

WHITESIDE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/23/2023