GEORGE RALPH GONNELLA DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****92

License Status

ACTIVE

Business

First Name

GEORGE

Middle

RALPH

Last Name

GONNELLA

Suffix

Business Name

GEORGE RALPH GONNELLA DO

Original Issue Date

07/19/1999

Effective Date

04/13/2023

Expiration Date

07/31/2026

City

GENEVA

State

Zip

60134

County

KANE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/13/2023