ANANDITA GEPHART Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****89

License Status

ACTIVE

Business

First Name

ANANDITA

Last Name

GEPHART

Business Name

ANANDITA GEPHART

Original Issue Date

10/21/1996

Effective Date

04/19/2023

Expiration Date

07/31/2026

City

ELGIN

State

Zip

60123

County

KANE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/19/2023