JOANNA C GARDNER Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****91

License Status

NOT RENEWED

Business

First Name

JOANNA

Middle

Last Name

GARDNER

Business Name

JOANNA C GARDNER

Original Issue Date

02/04/2005

Effective Date

02/04/2005

Expiration Date

07/31/2008

City

PEORIA

State

Zip

61637

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020